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Huong Thi Thu Nguyen, 1,2 Mackenzie PI Moir, 3 Thanh Xuan Nguyen, 2.4 Anh Phuong Vu, 5 Long Hoang Luong, 2,4 Tam Ngoc Nguyen, 1,2 Long Hoang Nguyen, 6 Bach Xuan Tran, 7.8 Tung Thanh Tran, 9 Carl A Latkin, 8 Melvyn WB Zhang, 10 Roger Ho CM, 11 Huyen Thanh Thi Vu 1,2
1 Department of Gerontology, Hanoi Medical University, Hanoi, Vietnam; 2 National Geriatric Hospital, Hanoi, Vietnam; 3 School of Public Health, University of Alberta, Edmonton, AB, Canada; 4 Dinh Tien Hoang Institute of Medicine, Hanoi, Vietnam; 5 Hanoi Medical University, Hanoi, Vietnam; 6 School of Medicine and Pharmacy, National University of Vietnam, Hanoi, Vietnam; 7 Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam; 8 Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; 9 Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam; 10 World Institute for Biomedical Research and Technology (BIGHEART), National University of Singapore, Singapore; 11 Department of Psychological Medicine, Faculty of Medicine Yong Loo Lin, National University of Singapore, Singapore
Background: Quality of Life Linked to Health (HRQoL) is an Important Indicator of care design and treatment services for diabetic patients. This is especially true given its rapid increase among the elderly population in Vietnam. HRQoL data in Vietnamese elderly diabetics are currently limited. This study aimed to 1) measure the HRQL of elderly patients with type 2 diabetes (T2DM) in Vietnam and 2) identify related factors and their relationship with HRQL.
Patients and Methods: A cross-sectional study was conducted. We recruited 171 patients aged 60 years and over with T2DD to the outpatient department of the National Geriatrics Hospital from June to November 2015. Patients were asked to rate their health using five five-dimensional EuroQol levels. (EQ-5D-3L) and the Visual Analog. Scale (VAS). Sociodemographic, diabetic and management characteristics were collected. Multivariate Tobit regression was used to determine which factors were associated with HRQoL, and the strength of this relationship.
Results: Patients reported problems in all areas of the EQ-5D: pain / discomfort (50.9%), mobility (33.3%), anxiety / depression (24.9%), , 0%), usual activities (21.1%) and self-care (10.5%). The mean score of the EQ-5D index was 0.80 (standard deviation = 0.20) and the average EQ-VAS score was 57.5 (standard deviation = 14.4). Patients who were men, lived in an urban area, could afford treatment, took fewer medications, and often monitored blood pressure (1-4 times a week) had a higher EQ-5D index than other groups . Meanwhile, a longer duration of diabetes and older age have been negatively associated with the EQ-5D index. Conclusion: The presence of diabetes and comorbidity was responsible for a significant decrease in HRQoL. Screening and identifying health problems, providing prompt treatment and facilitating self-management in patients have the potential to increase the HRQOL of diabetic patients.
Keywords: elder, quality of life, diabetes, Vietnam
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