한국 노인 당뇨병 환자의 삶의 질 관련요인

Abstract

ABSTRACT

Health-related Quality of Life in Elderly with Diabetes in Korea: The Korea National Health and Nutrition Examination Survey(KNHANES) 2007-2010

Lee, Hae-Jeong Advisor : Prof. Kim, Jin-Hwa, M.D., Ph.D Department of Internal Medicine, Graduate School of Chosun University

Objectives: Diabetes is one of the most common forms of chronic disease globally. The most country has its increasing trend and, especially its increasing prevalence rate in Asian become one of the great social problems. It is important to detect and improvement of health-related quality of life(HRQoL) in elderly with diabetes because it is associated with glucose control and development of diabetic complication. We evaluated HRQoL in Korean diabetic elderly and identified independent factors associated HRQoL using data of the Korea National Health and Nutrition Examination Survey (KNHANES) 2007-2010.

Methods: The research selected 4,872 diabetic elderly whose data of health condition and HRQoL exist and ages are older than 65, from the KNHANES 2007-2010. The variables included general characteristics, disease-related characteristics, anthropometric measurements and blood tests, and quality of life used the EQ-5D index. Statistical analyses were carried out using SPSS version 18.0 statstical program. Multiple regression analyses was performed to examinate independent factors associated with HRQoL in subjects. A statistical significance level was P < 0.05.

Results: The percentages of elderly with diabetes were 16.7% (788/4,872). EQ-5D index score of elderly with diabetes was significantly lower to elderly without diabetes by 0.79 ± 0.011 and 0.84 ± 0.004, respectively (P = 0.000). Independent factors associated with quality of life in elderly with diabetes were age, monthly income, subjective health status, hours of sleep, suicidal thoughts, depression, drinking, walking exercise, and chronic diseases (P < 0.05).

Conclusions: In Korea, the quality of life of elderly diabetic patients was significantly lower compared to the elderly who do not have diabetes. Negative emotions, short hours of sleep, poor physical activity, having chronic disease, and low economic level was associated with degradation of the quality of life. In the management of elderly patients with diabetes, diverse set of an individualized approach is required that focus on improving the quality of life ____________________________ Keywords: diabetes mellitus, Korean elderly, quality of life