The Quality of Life of Caregivers of People with Type 2 Diabetes Estimated Using the WHOQOL-BREF Questionnaire
Highlights
- Caregiver Burden: Caregivers of individuals with Type 2 Diabetes experience significant emotional, physical, and financial burdens. This includes stress from managing daily care routines and dealing with patients' chronic complications.
- Quality of Life Impact: The study found that the quality of life of these caregivers is affected in several domains, particularly psychological health, social relationships, and environmental factors.
- Health and Well-Being: Caregivers face a higher risk of health issues, including stress-related conditions, due to their caregiving responsibilities, particularly when they have less access to support systems.
- The Need for Support Programs: There is a critical need for better support structures, such as counseling and caregiver training programs to alleviate caregiver burden.
- Healthcare Integration: Integrating caregiver support into diabetes care plans could improve patient outcomes and caregiver well-being by ensuring a more holistic approach to diabetes management.
- Policy Changes: Policymakers should consider developing targeted interventions to support caregivers, such as financial assistance, respite care, and mental health services to improve their overall quality of life.
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting and Study Protocol
2.2. Tools and Data Acquisition
2.3. Statistical Analysis
3. Results
3.1. Patient Characteristics
3.2. Caregiver Characteristics
3.3. Quality of Life of Caregivers of Individuals with Type 2 Diabetes
3.4. The Effect of Risk Factors and Comorbidities on Caregivers’ QoL
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Melmed, A.; Richard, J.; Goldfine, A.B.; Koenig, R.R.; Clifford, J.; Williams, R.H.S. Williams Textbook of Endocrinology; Elsevier: Philadelphia, PA, USA, 2019. [Google Scholar]
- Fayers, P.M.; Machin, D. Quality of Life: The Assessment, Analysis and Reporting of Patient-Reported Outcomes, 3rd ed.; Wiley Blackwell: Hoboken, NJ, USA, 2016. [Google Scholar]
- The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Soc. Sci. Med. 1995, 41, 1403–1409. [CrossRef] [PubMed]
- Mayo, N.E. ISOQOL Dictionary of Quality of Life and Health Outcomes Measurement; International Society for Quality of Life Research (ISOQOL): Milwaukee, WI, USA, 2015. [Google Scholar]
- Carlsson, M.; Hamrin, E. Psychological and psychosocial aspects of breast cancer and breast cancer treatment. A literature review. Cancer Nurs. 1994, 17, 418–428. [Google Scholar] [CrossRef] [PubMed]
- Chien, C.H.; Chuang, C.K.; Liu, K.L.; Pang, S.T.; Wu, C.T.; Chang, Y.H. Prostate cancer-specific anxiety and the resulting health-related quality of life in couples. J. Adv. Nurs. 2019, 75, 63–74. [Google Scholar] [CrossRef] [PubMed]
- Kim, Y.; Carver, C.S.; Spillers, R.L.; Love-Ghaffari, M.; Kaw, C.K. Dyadic effects of fear of recurrence on the quality of life of cancer survivors and their caregivers. Qual Life Res. Int. J. Qual Life Asp. Treat Care Rehabil. 2012, 21, 517–525. [Google Scholar] [CrossRef] [PubMed]
- Pibernik-Okanović, M. Psychometric properties of the World Health Organisation quality of life questionnaire (WHOQOL-100) in diabetic patients in Croatia. Diabetes Res. Clin. Pract. 2001, 51, 133–143. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. WHO-BREF: Introduction, Administration, Scoring and Generic Version of the Assessment; WHO: Geneva, Switzerland, 1996. Available online: http://www.who.int/mental_health/media/en/76.pdf (accessed on 1 August 2023).
- Hooker, K.; Manoogian-O’Dell, M.; Monahan, D.J.; Frazier, L.D.; Shifren, K. Does type of disease matter? Gender differences among Alzheimer’s and Parkinson’s disease spouse caregivers. Gerontologist 2000, 40, 568–573. [Google Scholar] [CrossRef] [PubMed]
- Awadalla, A.W.; Ohaeri, J.U.; Al-Awadi, S.A.; Tawfiq, A.M. Diabetes mellitus patients’ family caregivers’ subjective quality of life. J. Natl. Med. Assoc. 2006, 98, 727–736. [Google Scholar] [PubMed]
- Vega-Silva, E.L.; Barrón-Ortiz, J.; Aguilar-Mercado, V.V.; Salas-Partida, R.E.; Moreno-Tamayo, K. Quality of life and caregiver burden in caregivers with patients with complications from type 2 diabetes mellitus. Rev. Med. Inst. Mex. Seguro Soc. 2023, 61, 440–448. [Google Scholar] [PubMed]
- Yazla, E.; Karadere, M.E.; Terzi, Ö.; Dolapçı, M.; Yastı, A. Caregiving burden and quality of life in diabetic foot patients & caregivers. Fam. Pract. Palliat Care. 2017, 2, 28–37. [Google Scholar]
- Costa, M.S.A.; Machado, J.C.; Pereira, M.G. Longitudinal changes on the quality of life in caregivers of type 2 diabetes amputee patients. Scand. J. Caring Sci. 2020, 34, 979–988. [Google Scholar] [CrossRef] [PubMed]
- Alves Costa, M.S.; Pereira, M.G. Predictors and moderators of quality of life in caregivers of amputee patients by type 2 diabetes. Scand. J. Caring Sci. 2018, 32, 933–942. [Google Scholar] [CrossRef] [PubMed]
- Ebrahimi, H.; Ashrafi, Z.; Rudsari, D.M.; Parsayekta, Z.; Haghani, H. Effect of Family-Based Education on the Quality of Life of Persons with Type 2 Diabetes: A Randomized Clinical Trial. J. Nurs. Res. 2018, 26, 97–103. [Google Scholar] [CrossRef] [PubMed]
Demographic Characteristics | N = 382 | % | |
---|---|---|---|
Sex | Male | 236 | 61.8 |
Female | 146 | 38.2 | |
Age | Under 40 | 3 | 0.8 |
41 to 50 | 37 | 9.7 | |
51 to 60 | 77 | 20.2 | |
61 to 70 | 167 | 43.7 | |
Over 71 | 98 | 25.7 | |
Education | Unfinished primary school | 54 | 14.1 |
High school | 226 | 59.2 | |
College | 51 | 13.4 | |
University | 49 | 12.8 | |
Doctorate | 2 | 0.5 | |
Living with | Alone | 88 | 23.0 |
Partner | 128 | 33.5 | |
Partner and children | 122 | 31.9 | |
Children | 19 | 5.0 | |
Parents | 5 | 1.3 | |
In extended family | 20 | 5.2 | |
Number of family members | 1 person | 84 | 22.0 |
2 persons | 140 | 36.6 | |
3 persons | 65 | 17.0 | |
4 persons | 48 | 12.6 | |
5 or more persons | 45 | 11.8 |
Demographic Characteristics | N = 300 | % | |
---|---|---|---|
Sex | Male | 98 | 32.7 |
Female | 202 | 67.3 | |
Age | Under 40 | 34 | 11.3 |
41 to 50 | 56 | 18.7 | |
51 to 60 | 81 | 27.0 | |
61 to 70 | 87 | 29.0 | |
Over 71 | 42 | 14.0 | |
Education | Unfinished primary school | 43 | 14.3 |
High school | 166 | 55.3 | |
College | 29 | 9.7 | |
University | 60 | 20.0 | |
Doctorate | 2 | 0.7 |
Complication Type | Physical Functioning (Interquartile Range) | Psychological Functioning (Interquartile Range) | Social Functioning (Interquartile Range) | Environmental Functioning (Interquartile Range) |
---|---|---|---|---|
Diabetic retinopathy | 64.29 | 62.50 | 58.33 | 70.31 |
(57.14–75.00) | (54.16–83.33) | (50.00–75.00) | (53.12–78.12) | |
Diabetic neuropathy | 71.43 | 75.00 | 66.67 | 75.00 |
(60.71–82.14) | (66.66–83.33) | (50.00–75.00) | (62.50–81.25) | |
Diabetic kidney disease | 75.00 | 75.00 | 75.00 | 75.00 |
(64.28–85.71) | (62.50–83.33) | (58.33–83.33) | (71.87–84.37) | |
Diabetic foot ulcers | 71.43 | 72.92 | 70.83 | 71.88 |
(60.71–83.92) | (62.50–83.33) | (62.50–83.33) | (64.06–76.56) | |
No chronic complications | 75.00 | 70.83 | 75.00 | 75.00 |
(60.71–89.28) | (62.50–83.33) | (58.33–83.33) | (68.75–84.37) | |
Multiple complications | 71.43 | 66.67 | 66.67 | 68.75 |
(50.00–78.57) | (54.16–75.00) | (50.00–75.00) | (59.37–84.37) |
Functioning Domains | Duration of T2D | Mean Value | p | H |
---|---|---|---|---|
Physical functioning | Less than 10 years | 75.00 | 0.380 | 5.304 |
11 to 20 years | 71.43 | |||
21 to 30 years | 71.43 | |||
31 to 40 years | 71.43 | |||
More than 40 years | 62.50 | |||
Psychological functioning | Less than 10 years | 72.92 | 0.978 | 0.788 |
11 to 20 years | 70.83 | |||
21 to 30 years | 70.83 | |||
31 to 40 years | 66.67 | |||
More than 40 years | 75.00 | |||
Social functioning | Less than 10 years | 66.67 | 0.331 | 5.753 |
11 to 20 years | 66.67 | |||
21 to 30 years | 66.67 | |||
31 to 40 years | 70.83 | |||
More than 40 years | 58.33 | |||
Environmental functioning | Less than 10 years | 75.00 | 0.351 | 5.564 |
11 to 20 years | 75.00 | |||
21 to 30 years | 68.75 | |||
31 to 40 years | 75.00 | |||
More than 40 years | 76.56 |
HbA1c | Physical Functioning | Psychological Functioning | Social Functioning | Environmental Functioning |
---|---|---|---|---|
Correlation coefficient | −0.013 | −0.098 | −0.133 | −0.168 |
p | 0.821 | 0.089 | 0.021 | 0.004 |
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Kolarić, V.; Rahelić, V.; Šakić, Z. The Quality of Life of Caregivers of People with Type 2 Diabetes Estimated Using the WHOQOL-BREF Questionnaire. Diabetology 2023, 4, 430-439. https://doi.org/10.3390/diabetology4040037
Kolarić V, Rahelić V, Šakić Z. The Quality of Life of Caregivers of People with Type 2 Diabetes Estimated Using the WHOQOL-BREF Questionnaire. Diabetology. 2023; 4(4):430-439. https://doi.org/10.3390/diabetology4040037
Chicago/Turabian StyleKolarić, Vilma, Valentina Rahelić, and Zrinka Šakić. 2023. "The Quality of Life of Caregivers of People with Type 2 Diabetes Estimated Using the WHOQOL-BREF Questionnaire" Diabetology 4, no. 4: 430-439. https://doi.org/10.3390/diabetology4040037
APA StyleKolarić, V., Rahelić, V., & Šakić, Z. (2023). The Quality of Life of Caregivers of People with Type 2 Diabetes Estimated Using the WHOQOL-BREF Questionnaire. Diabetology, 4(4), 430-439. https://doi.org/10.3390/diabetology4040037