PMID- 33863354
OWN - NLM
STAT- MEDLINE
DCOM- 20210531
LR  - 20210531
IS  - 1477-7525 (Electronic)
IS  - 1477-7525 (Linking)
VI  - 19
IP  - 1
DP  - 2021 Apr 16
TI  - The differences in health-related quality of life between younger and older 
      adults and its associated factors in patients with type 2 diabetes mellitus in 
      Indonesia.
PG  - 124
LID - 10.1186/s12955-021-01756-2 [doi]
LID - 124
AB  - BACKGROUND: It is well known that diabetes mellitus (DM) affects health-related 
      quality of life (HRQOL) in both younger (aged 18-64 years) and older adults 
      (aged >/= 65 years). However, to date, no study has compared HRQOL and its 
      predictors between younger and older adults with DM in Indonesia. Such a 
      comparison is important because the results can guide nurses and clinicians to 
      establish evidence-based educational programs that are specific and suitable for 
      patients. Therefore, the aim of this study was to investigate the difference in 
      HRQOL and its predictors in younger and older adults with DM in Indonesia. 
      METHODS: A cross-sectional study was conducted on 641 patients with type 2 
      diabetes mellitus (T2DM) who were recruited via simple random sampling from 16 
      primary health centers in Banyumas Regency, Indonesia. A self-administered 
      questionnaire containing the Summary of Diabetes Self-Care Activities, the DDS17 
      Bahasa Indonesia, the Beck Depression Inventory II, the Self-Efficacy for 
      Diabetes Scale, the Family APGAR, and the 36-item Short-Form Health Survey was 
      used to measure diabetes self-management (DSM), diabetes distress (DD), 
      depression, self-efficacy, family support, and HRQOL, respectively. Independent 
      t-tests were used to compare the physical component summary (PCS) and mental 
      component summary (MCS) scores between younger and older adults with T2DM. 
      Hierarchical multiple regression analyses were used to examine the factors 
      associated with HRQOL in both groups. RESULTS: PCS scores were significantly 
      different between the two groups. Older adults reported lower PCS scores than 
      younger adults. No differences between the two groups were observed in the MCS 
      scores. The hierarchical multiple regression analysis showed that level of 
      education, employment status, number of diabetes-related complications, DSM, DD, 
      depression, and self-efficacy were significant predictors of HRQOL in younger 
      adults, while income, depression, DD, and self-efficacy were significant 
      predictors of HRQOL in older adults. DD was the strongest predictor of HRQOL in 
      younger adults, and depression was the strongest predictor in older adults. 
      CONCLUSION: Older adult patients had lower PCS scores than younger adult 
      patients. This study is the first to show that the predictors of HRQOL differ 
      between younger and older adults with T2DM. It provides insights for nurses and 
      clinicians in Indonesia to establish evidence-based, age-specific educational 
      programs.
FAU - Sari, Yunita
AU  - Sari Y
AUID- ORCID: 0000-0003-1047-4771
AD  - Department of Nursing, Universitas Jenderal Soedirman, Purwokerto, Indonesia. 
      sasa.yunita@gmail.com.
FAU - Isworo, Atyanti
AU  - Isworo A
AD  - Department of Nursing, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
FAU - Upoyo, Arif Setyo
AU  - Upoyo AS
AD  - Department of Nursing, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
FAU - Taufik, Agis
AU  - Taufik A
AD  - Department of Nursing, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
FAU - Setiyani, Rahmi
AU  - Setiyani R
AD  - Department of Nursing, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
FAU - Swasti, Keksi Girindra
AU  - Swasti KG
AD  - Department of Nursing, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
FAU - Haryanto, Haryanto
AU  - Haryanto H
AD  - Department of Medical Surgical Nursing, STIK Muhammadiyah Pontianak, Pontianak, 
      Indonesia.
FAU - Yusuf, Saldy
AU  - Yusuf S
AD  - Faculty of Nursing, Hasanuddin University, Makassar, Indonesia.
FAU - Nasruddin, Nasruddin
AU  - Nasruddin N
AD  - Department of Medical Laboratory Science, Faculty of Nursing and Health Sciences, 
      Universitas Muhammadiyah Semarang, Semarang, Indonesia.
FAU - Kamaluddin, Ridlwan
AU  - Kamaluddin R
AD  - Department of Nursing, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
LA  - eng
GR  - T/1650/UN23.18/PT/01/01/2020/Kementerian Riset Teknologi Dan Pendidikan Tinggi 
      Republik Indonesia/
PT  - Comparative Study
PT  - Journal Article
DEP - 20210416
PL  - England
TA  - Health Qual Life Outcomes
JT  - Health and quality of life outcomes
JID - 101153626
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Aging/*psychology
MH  - Cross-Sectional Studies
MH  - Diabetes Complications/epidemiology/*psychology
MH  - Diabetes Mellitus, Type 2/epidemiology/*psychology
MH  - Female
MH  - Humans
MH  - Indonesia/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Quality of Life/*psychology
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC8052736
OTO - NOTNLM
OT  - Diabetes mellitus
OT  - Older younger adults
OT  - Predictor
OT  - Quality of life
COIS- The authors declare that they have no conflict of interest.
EDAT- 2021/04/18 06:00
MHDA- 2021/06/01 06:00
PMCR- 2021/04/16
CRDT- 2021/04/17 05:25
PHST- 2020/08/07 00:00 [received]
PHST- 2021/03/25 00:00 [accepted]
PHST- 2021/04/17 05:25 [entrez]
PHST- 2021/04/18 06:00 [pubmed]
PHST- 2021/06/01 06:00 [medline]
PHST- 2021/04/16 00:00 [pmc-release]
AID - 10.1186/s12955-021-01756-2 [pii]
AID - 1756 [pii]
AID - 10.1186/s12955-021-01756-2 [doi]
PST - epublish
SO  - Health Qual Life Outcomes. 2021 Apr 16;19(1):124. doi: 
      10.1186/s12955-021-01756-2.