Application of a health‐related quality of life conceptual model in community‐dwelling older Chinese people with diabetes to understand the relationships among clinical and psychological outcomes

Journal of Diabetes Investigation

Ann Tak Ying Shiu¹  Kai Chow Choi¹  Diana Tze Fan Lee¹  Doris Sau Fung Yu¹ 

[1] The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China

关键词: Diabetes;    Quality of life;    Structural equation modeling;   

DOI  :  10.1111/jdi.12198

来源: Wiley

【 摘 要 】

Abstract

Aims/Introduction

The present study applied the Wilson–Cleary model of health-related quality of life (HRQOL) by using the structural equation modeling (SEM) approach to understand the interrelationships among clinical, sociodemographic and psychological characteristics in older people with diabetes.

Materials and Methods

This was a cross-sectional study with 452 Chinese older people with diabetes recruited from three primary care clinics. A series of assessments were made, including four instruments: the Chinese version of the Short Form 36 Health Survey, Older American Resources and Services Multidimensional Functional Assessment Questionnaire, Rand Mental Health Inventory and Medical Outcomes Study Social Support Survey; and clinical outcomes (diabetes-related characteristics and physiological data).

Results

In the present study, we identified six patient individual and environmental characteristics, namely, age, sex, physical activity, psychological distress, social support and adequacy of income, that significantly influence HRQOL directly or by way of physical functional status and general health perception.

Conclusions

Improving social and financial support as well as providing interventions to promote physical activity and to cope with psychological distress in this patient population might be effective to eventually enhance their HRQOL. The present findings add to the literature the underlying complex biological and psychological processes of HRQOL, and take the body of knowledge in HRQOL of older people with diabetes to a theoretical level, and provide insights for development of appropriate strategies to optimize their HRQOL.

【 授权许可】

CC BY-NC   
© 2014 The Authors. Journal of Diabetes Investigation published by Asian Association of the Study of Diabetes (AASD) and Wiley Publishing Asia Pty Ltd

Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.