30May 2017


  • MD, Internal Medicine, Zagazig University, Egypt.
  • MD, Psychiatry departments, Zagazig University, Egypt.
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Background and Aim: Diabetes mellitus is a highly prevalent worldwide chronic disease with a well-known impact on quality of life (QoL). This study aims atassessingQoL in Egyptian type 2 diabetes patients and impact of health education intervention on QoL. Methods: An interventional study was carried out on 480 type 2 diabetics, aged 30-65 years, in Zagazig University hospital, Sharkia Governorate during the period from February 2016 to March 2017 using systematic random sampling. QoL was measured before and after health education usingWHOQoL-BREFinstrument (the Arabic version 1997). Results: 230 (47.9%) of the patients reported no comorbidities. Hypertension was the most frequent (31.3%) comorbidity. 45.5% of diabetic males were impotent. Although58.3% of the studied group had a score >50 in the physical domain of QoL, 60.4% had score < 50 in the psychological and social domain, and 58.3% had score < 50 in the environmental domain and total score of QoL.Age ≤ 50 years, duration of disease ≤ 10 years, and adequate knowledge were associated with higher total QoL (p=≤0.02). Significant improvement in physical, psychological domain and total QoL was found (p<0.05) after one year of health education intervention. Conclusion: A poor QoL was evident among type 2 diabetics in all its domains except the physical domain.The applied health education intervention message was an effective tool in improving QoL.

  1. Adham M, Froelicher ES, Batieha A, Ajlouni K. Glycaemic control and its associated factors in type 2 diabetic patients in Amman, Jordan. Eastern Mediterranean Health Journal. 2010 Jul 1; 16(7):732.
  2. Aghakoochak A, Shojaoddiny-Ardekani A, Vakili M, Namiranian N. Quality of Life in Diabetic Patients: A Case-Control Study. Iranian J Diabetes Obes. 2014 Mar 1; 6(1):28-33.
  3. Alavi NM, Ghofranipour F, Ahmadi F, Emami A. Developing a culturally valid and reliable quality of life questionnaire for diabetes mellitus. East Mediterr Health J.?2007 Jan-Feb; 13(1):177-85.
  4. Awad H, Salem A, Gadalla A, El Wafa NA, Mohamed OA. Erectile function in men with diabetes type 2: correlation with glycemic control. Int J Impot Res. 2010 Jan 1; 22(1):36-9.
  5. Davies MJ, Heller S, Skinner TC, Campbell MJ, Carey ME, Cradock S, Dallosso HM, Daly H, Doherty Y, Eaton S, Fox C. Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial. BMJ. 2008 Feb 28; 336(7642):491-5.
  6. Didarloo A, Alizadeh M. Health-Related Quality of Life and its Determinants among Women with Diabetes Mellitus: A Cross-Sectional Analysis. Nurs Midwifery Stud. 2016 Mar; 5(1).
  7. Didarloo A, Shojaeizadeh D, Alizadeh M. Impact of educational intervention based on interactive approaches on beliefs, behavior, hemoglobin A1c, and quality of life in diabetic women. Int J Prev Med. 2016; 7.
  8. Eljedi A, Mikolajczyk RT, Kraemer A, Laaser U. Health-related quality of life in diabetic patients and controls without diabetes in refugee camps in the Gaza strip: a cross-sectional study. BMC Public Health. 2006 Oct 30; 6(1):268.
  9. Federation ID, Atlas ID. International Diabetes Federation. IDF diabetes atlas, 6th ed. Brussels, Belgium: International Diabetes Federation. 2013.
  10. Ferrannini E, Muscelli E, Frascerra S, Baldi S, Mari A, Heise T, Broedl UC, Woerle HJ. Metabolic response to sodium-glucose cotransporter 2 inhibition in type 2 diabetic patients. J Clin Invest. 2014 Feb 3; 124(2):499-508.
  11. Goldney RD, Phillips PJ, Fisher LJ, Wilson DH. Diabetes, depression, and quality of life. Diabetes care. 2004 May 1; 27(5):1066-70.
  12. Jahromi MK, Ramezanli S, Taheri L. Effectiveness of diabetes self-management education on quality of life in diabetic elderly females. Glob J Health Sci. 2015 Jan; 7(1):10.
  13. Kalda R, R?tsep A, Lember M. Predictors of quality of life of patients with type 2 diabetes. Patient Prefer Adherence. 2008 Feb 2; 2:21-6.
  14. Moraveji M. Quality of life and its dimensions among the type2 diabetes patients referred to the diabetes center of Zanjan University of medical science (Vali-e-Asr Hospital)-2010. Endocrine Abstracts.?2012;?29:?681
  15. Ohaeri JUand Awadalla AW. The reliability and validity of the short version of the WHO Quality of Life Instrument in an Arab general population. Ann Saudi Med. 2009 Mar-Apr; 29(2): 98?104.
  16. Riaz M, Rehman RA, Hakeem R, Shaheen F. Health related quality of life in patients with diabetes using SF-12 questionnaire. J Diabetol. 2013 Jun; 2:1-7.
  17. Saurabh S, Sarkar S, Selvaraj K, Kar SS, Kumar SG, Roy G. Effectiveness of foot care education among people with type 2 diabetes in rural Puducherry, India. Indian J Endocrinol Metab. 2014 Jan; 18(1):106.
  18. Sreedevi A, Cherkil S, Kuttikattu DS, Kamalamma L, Oldenburg B. Validation of WHOQOL-BREF in Malayalam and determinants of quality of life among people with type 2 diabetes in Kerala, India. Asia Pac J Public Health. 2016 Jan; 28(1_suppl):62S-9S.
  19. Testa MA, Simonson DC. Health economic benefits and quality of life during improved glycemic control in patients with type 2 diabetes mellitus: a randomized, controlled, double-blind trial. JAMA. 1998 Nov 4; 280(17):1490-6.
  20. The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998 Jun 15; 46(12):1569-85.
  21. Thommasen HV, Berkowitz J, Thommasen AT, Michalos AC. Understanding relationships between diabetes mellitus and health-related quality of life in a rural community. Rural Remote Health. 2005 Jul; 5(3):441.
  22. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ. 2006 Mar 14; 174(6):801-9.
  23. Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011 Dec 31; 94(3):311-21.
  24. WHO J, Consultation FE. Diet, nutrition and the prevention of chronic diseases. World Health Organ Tech Rep Ser. 2003; 916(i-viii)

[Ayman M.E.M. Sadek, Ahmad Maher, Ashraf Khalifa, Rehab S. Mahdy, Amira A. Fouad and Heba A. Fouad. (2017); IMPACT OF HEALTH EDUCATION ON QUALITY OF LIFE IN EGYPTIAN TYPE 2 DIABETIC PATIENTS. Int. J. of Adv. Res. 5 (5). 1850-1856] (ISSN 2320-5407). www.journalijar.com

Ayman MEM Sadek


Article DOI: 10.21474/IJAR01/4320       DOI URL: http://dx.doi.org/10.21474/IJAR01/4320

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