Predictors of health-related quality of life in Diabetic Neuropathy type II diabetic patients in Greece

dc.contributor.author	Λυράκος, Γεώργιος Ν.	el
dc.contributor.author	Χατζηαγγελάκη, Εριφύλη	el
dc.contributor.author	Δαμίγος, Δημήτριος	el
dc.contributor.author	Παπαζαφειροπούλου, Αθανασία	el
dc.contributor.author	Μπούσμπουλας, Σταύρος	el
dc.contributor.author	και άλλοι	el
dc.date.accessioned	2014-07-19T01:41:52Z
dc.date.available	2014-07-19T01:41:52Z
dc.date.issued	2014-07-19
dc.identifier.uri	http://hdl.handle.net/11400/1423
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	www.hsj.gr	en
dc.subject	diabetic neuropathy
dc.subject	Diabetes
dc.subject	Σακχαρώδης διαβήτης
dc.subject	Διαβητική νευροπάθεια
dc.subject	Ποιότητα ζωής
dc.subject	Υγεία
dc.subject	Health related quality of life
dc.title	Predictors of health-related quality of life in Diabetic Neuropathy type II diabetic patients in Greece	en
heal.type	journalArticle
heal.generalDescription	Research article	en
heal.classification	Medicine
heal.classification	Ιατρική
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh00006614
heal.classificationURI	N/A-Ιατρική
heal.keywordURI	http://lod.nal.usda.gov/32964
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85037456
heal.language	en
heal.access	free
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας.Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής	el
heal.publicationDate	2013-09
heal.bibliographicCitation	Lyrakos, G., Hatziagelaki, E., Damigos, D. & Papazafiropoulou, A. (September 2013). Predictors of health-related quality of life in Diabetic Neuropathy type II diabetic patients in Greece. “Health Science Journal”. 7(3):327-341.	en
heal.abstract	Background: Diabetes Mellitus (DM) is a major cause of morbidity and mortality affecting millions of people worldwide, while placing a noteworthy strain on public health funding. There is limited information regarding the determintants of the quality of life of diabetic patients with neuropathy in Greece. Aim: The aim of this study was to assess health-related quality of life (HRQoL) of Greek Type-II DM patients with diabetic neuropathy (DN) and to identify significant predictors of the disease in this patient population. Method and Material: A random sample of 53 patients with DN drawn from two major hospitals in Greece was assessed. Assessment included: demographic characteristics, the SF-12 to calculate physical and mental component summary scores, the Michigan Neuropathic Screening Instrument, Depression-Anxiety-Stress Scale and a pain scale (0-10) for pain assessment. Scale scores were compared with parametric t-test and ANOVA ,and multivariate stepwise linear regression analyses were used to investigate the effect of sociodemographic and diabetes-related variables on HRQoL. Results: The majority of the participants had poor Health-Related quality of Life (HRQoL), with physical component score (PCS) (M=34.4±11.5) and mental component score (MCS) (M=41.4±13.9). The most important predictors of impaired HRQoL were Michigan Neuropathy Screening Instrument, HbA1c, reduced activity, mental fatigue, depressive feelings, neuropathy treatment and coronary artery disease. Older age, lower education, being unmarried, retinopathy, peripheral arterial disease, depression comorbidity, stress and anxiety, were also associated with impaired HRQoL in at least one SF-12 subscale. Multivariate regression analyses produced models explaining significant portions of the variance in SF-12 subscales, both physical (R2 = 66%) and mental functioning (R2=71%), and also showed that diabetes-related indicators were more important disease predictors, compared to sociodemographic variables. Conclusions: The findings could have implications for health promotion in medical practice in Greece. In order to preserve a good HRQoL in DN, it is important to prevent complications, fatigue and depression, and maintain good glycemic control.	en
heal.publisher	Μαρβάκη, Χριστίνα	el
heal.journalName	Health Science Journal	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	true
heal.dateCreated	2013-07