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June 2022 -
Volume 20, Issue 6


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From the Editor

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The prevalence and outcome of Stenotrophomonas maltophilia bacteraemia over a 5 year period at tertiary care in Saudi Arabia
Ali Amer Al Shehri, Bader Ibrahim Asiri, Khalid Mousa Asiri, Mohammad Abdullah Albakkar, Salmah Muidh Ali Alharbi, Saeed Saad Alqahtani, Sultan Ahmad Alkahtani, Yahya Mohammed Aloosh
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525054

Regional Covid

Acceptance, perception and awareness regarding COVID-19 vaccination among general population in Karachi, Pakistan
Tafazzul Hyder Zaidi, Nadira Hyder Zaidi, Aamer Humayun Ansari, Sobia Memon, Faheem Ahmed, Aleena Waheed, Javeria Abdul Mateen, Amtul Bari, Fatima Tuz Zehra
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525052

Misconceptions and Fears among Primary Health Care Physicians in Aseer Region, Saudi Arabia, regarding COVID-19
Ameen Mohammed Hashem Malky, Khalid M. Almosa
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525066

Review

Granulomatous Gastritis in Crohn's Disease - is it Common or Rare: Review Article
Al Amri Turki Abdullah, Parul Tandon
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525060

Diabetic Ketoacidosis: A Review Article
Hani Raka Karrar, Mahmoud Ismail Nouh, Rehab Salah Aldin Alhendi,
Osama Habib Alsaedi, Amal Hassan Abu Sadah, Nouf Mousa Bahri, Mohammed Ghumays M Alharthi, Omar Aziz Bahlol Aldhafeeri,
Salihah Ali Razqan, Mohammed Yahya Mojammam, Hessa Meteq Albalawi, Mohammed Aljunaid Alamin Alsheikh, Naif Ibrahim Saeed Abusharhah,
Saleh Jabbar Alzahrani, Sara Gafar Ali Seedahmed
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525062

Magnetic resonance cholangiopancreatography in the evaluation of pancreatic and biliary disorders
Shaza Youssef, Thamin Alassaad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525073

Classification and Diagnosis of Acute Pancreatitis
Thamin Alassaad, Shaza Youssef
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525074

Population and Community Studies

Knowledge, Attitude, and Practice towards Over-the-Counter Drugs (OTC) use among adult population in Jeddah, Saudi Arabia

Fathi El-Gamal, Badr Atia Alsahafi, Ibrahim Alsammak, Emad Darwesh, Raad Albogami, Abdullah Taha
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525056

A Prospective Study Comparing Laparoscopic with Open Appendectomy in Children with Complicated Appendicitis
Younes, Alaa E.
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525063

Physical Activity and Eating Habits Impact on Attentiveness and Academic Achievement Among Health Specialty Students in University of Hail
Khalid Farhan Alshammari, Abdulmohsin Homoud Almalaq, Fadi Sulaiman Alqassim, Khalid Falah Alqahtani
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525064

Assessment of Knowledge and practice of Maturity Onset Diabetes of the Young (MODY) among Primary care physicians in Najran, Saudi Arabia
Mohammed Ayed Huneif
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525065

Primary Healthcare Physicians' Knowledge, Attitude and Practices about Diabetic Foot Prevention and Management in Aseer Region, Saudi Arabia
Hassan Mohammed H. Alqarni, Abdulrahman Mohammed Alshehri,
Shahad Hassan Ali Alhayaza, Ali Al-Mousa
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525079

Knowledge and awareness level about radial head subluxation mechanism among Saudi population living in western region of Saudi Arabia
Enaam M.Junainah, Areej A. Alsufyani, Abdulaziz B. Alghuraibi, Ahmed F.Aljuhani, Raghad M. Alsaqqa, Huda A. Alzahrani
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525082

Clinical Review

Allergy to Salbutamol
Turki Alahmadi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525086

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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June 2022 - Volume 20, Issue 6

Health Related Quality Of Life among Type 2 Diabetes Patients in Southern Province of Saudi Arabia Using WHOQOL-BREF: Cross Sectional Study

Corresponding author:
Osama Albasheer
Department of Family and Community Medicine, Faculty of Medicine, Jazan University
Jazan, Saudi Arabia
Email: oalbasheer@jazanu.edu.sa


Received: April 2022 Accepted: May 2022; Published: June 1, 2022. Citation: Areej Hamdi et al., Health Related Quality Of Life among Type 2 Diabetes Patients in Southern Province of Saudi Arabia Using WHOQOL-BREF: Cross Sectional Study. World Family Medicine. 2022; 20(6): 19-28. DOI: 10.5742/MEWFM.2022.9525057

Abstract

Background: Quality of life has become a more important health outcome with advancements in medical therapies and disease management, leading to better lives of people in general and in particular those living with chronic diseases. Diabetes has a direct impact on physical, psychological and social aspects of personal health. The aim of this study is to determine the health related quality of life and its predictors in patients with type 2 diabetes

Method: A cross-sectional study was carried out among 420 patients with type II diabetes who presented to primary health care centers in Samtah town, Saudi Arabia from March 2017 to February 2018. The HRQoL of the study participants was determined with reference to the World Health Organization Quality of Life-BREF. Multi-level linear regression was employed to ascertain associated factors with HRQOL among patients with type II diabetes.

Results: Females had significantly higher HbA1c, anxiety, depression and stress scores, and a lower HRQL in subscales physical, psychological and environmental health as compared with the males (P<0.001). All subscales of HRQL were significantly lower in age group > 50 years. When compared to those with low level of education (Illiterate, Primary or Elementary school), patients with secondary and bachelors education had significantly higher HRQOL in all subscales of HRQL (P<0.001). In addition, there were significant differences in glycemic control and HRQL with longer duration of diabetes, presence of one or more diabetes complications and presence of comorbid hypertension (P<0.001). However, no significant differences in Depression, Anxiety and Stress Scale (DASS) index were observed with longer duration of diabetes and the presence of comorbid hypertension. Diabetes patients on combined therapy and healthy diet and exercising showed significantly higher HRQOL on physical functioning (P<0.001).

Conclusion: Presence of type 2 diabetes greatly impaired health related quality of life and mental health among the study participants. Females had the worse quality of life and mental health compared with the males. The age, duration of diabetes, comorbid hypertension, diabetes complications and the levels of education were significant predictors of HRQOL and mental health. Healthy diet and exercising when combined with hypoglycemic and insulin therapy greatly improve HRQOL and mental health among diabetes patients. Scales that are based on a broad definition of health such as the WHOQOL-BREF are appropriate for use in the primary care setting and can enhance patient management and care.

Key words: Quality of life; Type 2 diabetes;
Depression; Anxiety; Hypertension; Complications

 







 


 

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