비당뇨병 환자와의 비교를 통한 우리나라 당뇨병 환자의 삶의 질; 제5기 국민건강영양조사(2010-2012)
Quality of life in patients with diabetes mellitus compared with non-diabetic subjects in Korea: The 5th Korea National Health and Nutrition Examination Survey
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Objective: This study was to evaluate the health-related quality of life (HRQoL) among patients withdiabetes in Korea and to compare them with the HRQoL of individuals without diabetes history. Methods: The study subjects were 17,655 adults aged over 19 who participated in the 5th Korea NationalHealth and Nutrition Examination Survey (2010-2012). The EuroQoL-5Dimension was used to evaluateHRQoL. Chi-square test, t-test, ANOVA and multiple regression analysis were performed to test thedifference of HRQoL in diabetic subjects and controls. Results: The mobility dimension was the highest reported problem: 36.4% for diabetic subjects. Theproportion of any reported problem was significantly high among diabetic subjects compared with twocontrols in terms of mobility [reference group: diabetic subjects, chronic controls: adjusted odds ratio(aOR)=0.77, 95% confidence interval (95% CI)=0.66-0.91, healthy controls: aOR=0.61, 95% CI=0.50-0.75],self-care [reference group: diabetic subjects, chronic controls: aOR=0.68, 95% CI=0.55-0.83, healthy controls:OR=0.69, 95% CI=0.51-0.94]. and usual activities [reference group: diabetic subjects, chronic controls:aOR=0.85, 95% CI=0.72-0.99, healthy controls: OR=0.79, 95% CI=0.62-0.98]. Also, EQ-5D index weresignificantly low in subjects with diabetes compared to two controls. Conclusions: Subjects with diabetes had a significantly lower HRQoL compared with two controls. Toimprove the quality of life of diabetics, it is necessary to study various variables related to the quality oflife, and develop and manage various health programs or welfare policies reflecting socio-demographiccharacteristics and health related features that affect the quality of life.
Abstract
Objective: This study was to evaluate the health-related quality of life (HRQoL) among patients withdiabetes in Korea and to compare them with the HRQoL of individuals without diabetes history. Methods: The study subjects were 17,655 adults aged over 19 who participated in the 5th Korea NationalHealth and Nutrition Examination Survey (2010-2012). The EuroQoL-5Dimension was used to evaluateHRQoL. Chi-square test, t-test, ANOVA and multiple regression analysis were performed to test thedifference of HRQoL in diabetic subjects and controls. Results: The mobility dimension was the highest reported problem: 36.4% for diabetic subjects. Theproportion of any reported problem was significantly high among diabetic subjects compared with twocontrols in terms of mobility [reference group: diabetic subjects, chronic controls: adjusted odds ratio(aOR)=0.77, 95% confidence interval (95% CI)=0.66-0.91, healthy controls: aOR=0.61, 95% CI=0.50-0.75],self-care [reference group: diabetic subjects, chronic controls: aOR=0.68, 95% CI=0.55-0.83, healthy controls:OR=0.69, 95% CI=0.51-0.94]. and usual activities [reference group: diabetic subjects, chronic controls:aOR=0.85, 95% CI=0.72-0.99, healthy controls: OR=0.79, 95% CI=0.62-0.98]. Also, EQ-5D index weresignificantly low in subjects with diabetes compared to two controls. Conclusions: Subjects with diabetes had a significantly lower HRQoL compared with two controls. Toimprove the quality of life of diabetics, it is necessary to study various variables related to the quality oflife, and develop and manage various health programs or welfare policies reflecting socio-demographiccharacteristics and health related features that affect the quality of life.
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