A Conceptual Model for Quality of Life Among People with Type 2 Diabetes in the Philippines.

knowledge path analysis quality of life self-efficacy type 2 diabetes

Journal

Yonago acta medica
ISSN: 0513-5710
Titre abrégé: Yonago Acta Med
Pays: Japan
ID NLM: 0414002

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 04 12 2018
accepted: 25 12 2018
entrez: 10 4 2019
pubmed: 10 4 2019
medline: 10 4 2019
Statut: epublish

Résumé

The increased prevalence of chronic diseases is a social issue in developing countries. To create a conceptual model representing the quality of life of low-income people with type 2 diabetes in the Philippines, 117 low-income adult participants in a public support group were studied, and the Physical Component Summary (PCS) and Mental Component Summary (MCS) scores on quality of life (QOL) were analyzed in terms of their relationships with the following factors: basic attributes, physical factors (glycated hemoglobin level, complications, comorbidities, and symptoms), social factors (support, education, and financial status), and cognitive factors (knowledge, attitude, self-efficacy, and self-management behavior). Based on correlation coefficients among variables and goodness-of-fit test results through a path analysis, 2 models representing causal relationships were created, both of which showed sufficient goodness-of-fit. Glycated hemoglobin levels, knowledge of blood glucose levels, self-efficacy, and self-management behavior (exercise) influenced PCS scores, while age, glycated hemoglobin levels, neuropathy, knowledge of insulin, self-efficacy, and self-management behavior (exercise) influenced MCS scores. The influence of self-efficacy was prominent in both cases, providing an important insight for healthcare professionals to develop effective support methods.

Sections du résumé

BACKGROUND BACKGROUND
The increased prevalence of chronic diseases is a social issue in developing countries.
METHODS METHODS
To create a conceptual model representing the quality of life of low-income people with type 2 diabetes in the Philippines, 117 low-income adult participants in a public support group were studied, and the Physical Component Summary (PCS) and Mental Component Summary (MCS) scores on quality of life (QOL) were analyzed in terms of their relationships with the following factors: basic attributes, physical factors (glycated hemoglobin level, complications, comorbidities, and symptoms), social factors (support, education, and financial status), and cognitive factors (knowledge, attitude, self-efficacy, and self-management behavior).
RESULTS RESULTS
Based on correlation coefficients among variables and goodness-of-fit test results through a path analysis, 2 models representing causal relationships were created, both of which showed sufficient goodness-of-fit.
CONCLUSION CONCLUSIONS
Glycated hemoglobin levels, knowledge of blood glucose levels, self-efficacy, and self-management behavior (exercise) influenced PCS scores, while age, glycated hemoglobin levels, neuropathy, knowledge of insulin, self-efficacy, and self-management behavior (exercise) influenced MCS scores. The influence of self-efficacy was prominent in both cases, providing an important insight for healthcare professionals to develop effective support methods.

Identifiants

pubmed: 30962745
pmc: PMC6437403

Types de publication

Journal Article

Langues

eng

Pagination

53-61

Références

Diabetes Care. 2001 Jan;24(1):16-21
pubmed: 11194219
Sch Inq Nurs Pract. 2001 Fall;15(3):235-48
pubmed: 11871582
Qual Life Res. 2003;12 Suppl 1:3-16
pubmed: 12803306
Health Psychol. 1992;11(6):386-95
pubmed: 1286658
J Am Psychoanal Assoc. 1956 Jan;4(1):56-121
pubmed: 13286157
Am Psychol. 1992 Sep;47(9):1102-14
pubmed: 1329589
Qual Life Res. 2003 Dec;12(8):1003-12
pubmed: 14651418
Patient Educ Couns. 2004 Mar;52(3):271-7
pubmed: 14998597
Res Theory Nurs Pract. 2005 Fall;19(3):217-30
pubmed: 16144240
Soc Sci Med. 2006 Jun;62(12):3177-85
pubmed: 16406248
CMAJ. 2006 Mar 14;174(6):801-9
pubmed: 16534088
Diabetes Educ. 2009 Jul-Aug;35(4):641-51
pubmed: 19407333
Diabetes Res Clin Pract. 2010 Nov;90(2):160-6
pubmed: 20828851
Global Health. 2011 Oct 10;7:38
pubmed: 21985187
J Diabetes Complications. 2012 Jan-Feb;26(1):10-6
pubmed: 22226484
Diabetes Care. 2013 Jan;36 Suppl 1:S11-66
pubmed: 23264422
BMC Fam Pract. 2013 May 24;14:66
pubmed: 23705978
Presse Med. 2014 Jun;43(6 Pt 2):e209-20
pubmed: 24857588
Chronic Illn. 2015 Jun;11(2):93-107
pubmed: 24907237
Rev Salud Publica (Bogota). 2014 Mar-Apr;16(2):246-59
pubmed: 25383498
Health Qual Life Outcomes. 2015 Aug 19;13:129
pubmed: 26286395
Stress. 2016;19(1):125-32
pubmed: 26473638
Int J Geriatr Psychiatry. 2016 Aug;31(8):829-36
pubmed: 26729627
J Phys Ther Sci. 2016 Jan;28(1):142-7
pubmed: 26957746
Rural Remote Health. 2016 Jan-Mar;16(1):3629
pubmed: 26976745
Ann Glob Health. 2015 Nov-Dec;81(6):863-9
pubmed: 27108153
J Health Care Poor Underserved. 2017;28(2):770-783
pubmed: 28529223
Diabetologia. 1993 Feb;36(2):150-4
pubmed: 8458529
Psychol Rev. 1977 Mar;84(2):191-215
pubmed: 847061
Diabetes Care. 1997 May;20(5):760-6
pubmed: 9135939
Diabetes Care. 1998 May;21(5):706-10
pubmed: 9589228

Auteurs

Haruka Aoto (H)

School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

Chika Tanimura (C)

School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

Abir Majbauddin (A)

†International Platform for Dryland Research and Education, Tottori University, Tottori 680-0001, Japan.

Nobuyuki Kobayashi (N)

‡Arid Land Research Center, Tottori University, Tottori 680-0001, Japan.

Tetsuji Morita (T)

§Tottori western Medical Association Department of Rehabilitation Misasa onsen Hospital, Touhaku 682-0122, Japan.

Kazuoki Inoue (K)

||Department of Community-based Family Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

Shinji Otani (S)

†International Platform for Dryland Research and Education, Tottori University, Tottori 680-0001, Japan.

Mika Fukada (M)

School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

Keiichi Hanaki (K)

School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

Classifications MeSH