Objective To evaluate the quality of life (QOL) of patients with type 2 diabetes (T2DM) managed by community health facilities in Shanghai and its influencing factors.
Methods Patients with T2DM (n=2 741) managed by community health facilities in Shanghai were sampled through multistage stratified sampling with equal probability. Basic information, disease condition, and QOL were investigated by a questionnaire survey. Multivariate unconditional stepwise logistic regression was applied to analyze risk factors of QOL in T2DM patients.
Results There were 1 596 females (58.23%) and 1 145 males (41.77%) among the subjects. The average age was (67.70& #177;9.30) years. The median of disease duration was 8 years, and 36.61% patients had more than 10 years. The patients with self-reported chronic complications accounted for 13.06% of the sample. The percentages of T2DM related chronic complications including high blood pressure, coronary heart disease, and cerebral stroke were 63.99%, 17.22%, and 11.57%, respectively. The scores of physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health were 85, 100, 90, 62, 75, 89, 100, and 80, respectively. The major positive factor of QOL was regular exercises which were positive in all the eight dimensions of QOL, and the OR values ranged from 1.21 to 1.91. The major negative factor to QOL was female which was negative in eight dimensions of QOL with OR of 0.50-0.81; T2DM related chronic complications showed negative impacts on QOL in 6 dimensions, with OR of 0.53-0.75; coronary heart disease and stroke were negative in six and five dimensions of QOL, with OR of 0.62-0.77 and 0.57-0.75, respectively. Older age, low level of education, and low level of income also showed negative impacts on QOL.
Conclusion Integrated intervention would be necessary to improve the QOL of diabetes patients, including promoting regular exercises and actively treating complications of diabetes.
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