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Advisor(s)
Abstract(s)
Introdução: A diabetes é uma doença crónica e metabólica que, devido ao aumento da sua incidência, constitui uma epidemia emergente ao nível mundial, sendo considerada uma das principais causas de doença e morte prematura na maioria dos países. As implicações médicas e sociais inerentes à doença influenciam de forma negativa a qualidade de vida (QV) dos doentes. Neste contexto, diversas ferramentas foram criadas para medir especificamente o impacto da doença na QV, dentre elas, o Diabetes health profile short version (DHP-18), que foi traduzido e validado recentemente para a população Portuguesa. Procuramos com este estudo, avaliar o impacto da diabetes na qualidade de vida dos diabéticos do Centro de Saúde da Covilhã.
Objetivos: Verificar a fiabilidade do DHP-18 em função da idade, género, formação académica e tempo de duração de diabetes numa população diabética do Centro de Saúde da Covilhã.
Material e métodos: Trata-se de um estudo observacional transversal, no qual se procedeu a aplicação de questionários DHP-18 aos doentes com o diagnóstico de diabetes. Foi realizada análise descritiva e inferencial através dos testes estatísticos one-way analysis of variance (One-way anova) e kruskal-wallis H.
Resultados: Fizeram parte do estudo 42 diabéticos do tipo 2, sendo a maioria (52,38%) do género feminino e a média das idades de 69,95 anos. Dos participantes, 95,2% possuíam formação académica equivalente ou superior à antiga 4ª classe (sabe ler ou escrever), e os do género feminino tinham o diagnóstico da doença há mais tempo (13,27 ± 12,04 anos) que os do género masculino (10,70 ± 10,65 anos). Após a análise verificou-se que a idade, o género e a formação académica dos diabéticos não apresentaram relação estatisticamente significativa (p>0,05) em relação aos componentes do DHP-18 (sofrimento psicológico, barreiras à atividades e alimentação desinibida). O tempo de duração da diabetes foi relacionada à um maior sofrimento psicológico e maior barreiras à atividade (p<0,05), não sendo, contudo, relacionado à alimentação desinibida (p>0,05). O DHP-18 demostrou fraca consistência interna com alfa de cronbach entre 0,555 – 0,753.
Conclusão: Os doentes com maior tempo de duração da doença são os que apresentam maior sofrimento psicológico e sentem mais limitações para atividades. Contudo, o tempo de duração da doença não parece influenciar a alimentação desinibida. A idade, o género e a formação académica dos doentes não demostram influenciar os diferentes componentes do DHP-18.
Introduction: Diabetes is a chronic and metabolic disease that due to its increased incidence constitutes an emerging epidemic worldwide, and is considered a major cause of disease and premature death in most countries. The medical and social implications of the disease influence negatively the quality of life (QoL) of these patients. In this context, several tools have been created to specifically measure the impact of the disease on QoL, among them, the Diabetes Health Profile Short Version (DHP-18), which was translated and recently validated for the Portuguese population. The aim of this study was to evaluate the impact of diabetes on quality of life of diabetic patients from the Health Center of Covilhã. Objectives: To verify the reliability of the DHP-18 depending on age, gender, educational background and time duration of diabetes in a diabetic population of Health Center of Covilhã. Material and methods: This is a cross-sectional observational study, which was carried applying DHP-18 questionnaires to patients diagnosed with diabetes. A descriptive and inferential analysis was performed using the statistical tests one-way analysis of variance test (One-way ANOVA) and Kruskal-Wallis H. Results: The study included 42 type 2 diabetic patients, the majority (52.38%) were female and the average age of 69.95 years. Of the participants, 95.2% had qualifications equivalent or superior to the old 4th (knows how to read and write), and the females had the diagnosis of disease for longer time (13.27 ± 12.04 years) than the males (10.70 ± 10.65 years). After the analysis it was found that age, gender and educational background of diabetic patients had no statistically significant relationship (p>0.05) in relation to the components of the DHP-18 (psychological distress, barriers to activities and disinhibited eating). The duration of diabetes was associated with greater psychological distress and barriers to activities (p<0.05), not being, however, related to the disinhibited eating (p>0.05). The DHP-18 demonstrated weak internal consistency with cronbach’s alpha between 0.555 to 0.753. Conclusion: Patients with longer duration of disease are those with greater psychological distress and with greater limitations to activities. However, the duration of the disease doesn’t seem to influence the disinhibited eating. Also, the patient’s age, sex and education background don´t seem to influence the different components of the DHP-18.
Introduction: Diabetes is a chronic and metabolic disease that due to its increased incidence constitutes an emerging epidemic worldwide, and is considered a major cause of disease and premature death in most countries. The medical and social implications of the disease influence negatively the quality of life (QoL) of these patients. In this context, several tools have been created to specifically measure the impact of the disease on QoL, among them, the Diabetes Health Profile Short Version (DHP-18), which was translated and recently validated for the Portuguese population. The aim of this study was to evaluate the impact of diabetes on quality of life of diabetic patients from the Health Center of Covilhã. Objectives: To verify the reliability of the DHP-18 depending on age, gender, educational background and time duration of diabetes in a diabetic population of Health Center of Covilhã. Material and methods: This is a cross-sectional observational study, which was carried applying DHP-18 questionnaires to patients diagnosed with diabetes. A descriptive and inferential analysis was performed using the statistical tests one-way analysis of variance test (One-way ANOVA) and Kruskal-Wallis H. Results: The study included 42 type 2 diabetic patients, the majority (52.38%) were female and the average age of 69.95 years. Of the participants, 95.2% had qualifications equivalent or superior to the old 4th (knows how to read and write), and the females had the diagnosis of disease for longer time (13.27 ± 12.04 years) than the males (10.70 ± 10.65 years). After the analysis it was found that age, gender and educational background of diabetic patients had no statistically significant relationship (p>0.05) in relation to the components of the DHP-18 (psychological distress, barriers to activities and disinhibited eating). The duration of diabetes was associated with greater psychological distress and barriers to activities (p<0.05), not being, however, related to the disinhibited eating (p>0.05). The DHP-18 demonstrated weak internal consistency with cronbach’s alpha between 0.555 to 0.753. Conclusion: Patients with longer duration of disease are those with greater psychological distress and with greater limitations to activities. However, the duration of the disease doesn’t seem to influence the disinhibited eating. Also, the patient’s age, sex and education background don´t seem to influence the different components of the DHP-18.
Description
Keywords
Barreiras à Atividade. Diabetes Diabetes Health Profile Qualidade de Vida Sofrimento Psicológico