Impact of self-management group activities on quality of life and its influencing factors among diabetic patients / 中华健康管理学杂志

ABSTRACT

Objective To analyze changes in quality of life(QOL)of diabetic patients before and after self-management group activities and potential factors influencing the changes.Methods From April to June 2014, volunteer patients with medical records confirming diagnosis of diabetes were recruited through telephone notification,poster announcements,and letter invitation.At baseline and six months later, interviews were conducted to analyze changes in QOL.A total of 633 participants were recruited who agreed to enter aself-management group. Paired t-tests were used to compare QOL before and after the self-management group activities, andbinary logistic regression analysis was used to analyze the potential influencing factors. Results Six hundred and three participants completed the 6-session activities with a response rate of 95.2%. Compared to baseline, the QOL scores in eight domains were all higher after six months.Single factor analysis showed that QOL of those with high income(χ2=6.72,P=0.035),the fruit and vegetable intake improvement group (χ2=5.11, P=0.024), the moderate-intensity physical activity improvement group (χ2=16.29, P=0.000), the eating habits improvement group (χ2=7.34, P=0.007), the self-confidence to manage diabetes improvement group(χ2=20.48,P=0.000),the glycemic control group(χ2=5.10,P=0.024),and the body-mass index improvement group(χ2=4.80,P=0.028)were higher than for other groups. Multi-factor analysis results showed that moderate physical activity improvement (OR=1.711, P=0.020) and self-confidence to manage diabetes improvement (OR=2.935, P=0.000) were factors related to improvement of QOL.Conclusion Self-management group activities were important ways to improve QOL.