بررسی ساختار عاملی پرسشنامه کیفیت زندگی مرتبط با‌سلامت (SF-36) در بیماران دیابت نوع دو
محورهای موضوعی :
مریم قربانی نهوجی
1
شیرین کوشکی
2
آمنه سادات کاظمی
3
افسانه خواجوند خوشلی
4
کلید واژه: کیفیت زندگی وابسته به‌سلامت, روایی, پایایی, دیابت نوع دو,
چکیده مقاله :
مقدمه: کیفیت زندگی می‌تواند به عنوان شاخص کیفیت مراقبت های بهداشتی بوده و جزئی از برنامه درمان بیماری محسوب شود. تعیین این شاخص در بیماری دیابت نوع 2 که یک بیماری مزمن و شایع است، اطلاعات مفیدی را در اختیار دست اندرکاران امور سلامت و درمان قرار می‌دهد. بنابراین هدف پژوهش حاضر بررسی ساختار عاملی پرسشنامه کیفیت زندگی وابسته به‌سلامت در بیماران مبتلابه دیابت نوع دو بود. روش: در قالب یک مطالعه روش‌شناسی، نسخه فارسی پرسشنامه کیفیت زندگی مرتبط با سلامت (SF-36) بر روی 290 نفر از بیماران مبتلابه دیابت نوع دو اجرا شد. ساختار عاملی پرسشنامه از طریق تحلیل عاملی اکتشافی موردبررسی قرار گرفت. علاوه بر این، پایایی پرسشنامه از طریق آلفای کرونباخ و دونیمه کردن بررسی شد. جهت تجزیه‌وتحلیل داده‌ها از برنامه SPSS نسخه 25استفاده گردید. یافته‌ها: نتایج تحلیل عاملی اکتشافی با استفاده از روش چرخشی پروماکس، بیانگر وجود شش عامل بود ولی سؤالات یکی از عامل‌ها به خاطر همپوشی با سؤالات عامل‌های دیگر حذف شد. با توجه به نتایج تحلیل عاملی اکتشافی در 5 عامل، پایایی پرسشنامه با استفاده از دامنه ضرایب آلفای کرونباخ خرده مقیاس‌ها 73/0 تا 97/0 و دونیمه کردن 60/0 تا 97/0 به دست آمد. نتیجه‌گیری: نتايج نشان داد سازه 5 عاملي کيفيت زندگي مرتبط با سلامت (SF-36) از روايي و پايايي مناسبي در بيماران دیابت نوع 2 برخوردار است. با توجه به ويژگي¬هاي مناسب روان‌سنجی، اين ابزار مي¬تواند در مطالعات بعدي جهت ارزيابي کيفيت زندگي اين جمعيت به کار گرفته شود.
Introduction: Quality of life can be considered as a marker of the quality of health care and is a part of the patient's treatment plan. Its measurement in type 2 diabetic patients provides useful information to health authorities. Therefore,aim of this study was to examine on the factor structure of the health-related quality of life (SF-36)among type 2 diabetes. Methods: In this methodological study, the Farsi version of the SF-36 was administrated among 290 patients with types 2 diabetes. The factor structure of scales was assessed using exploratory factor analysis. Also, the reliability of questionnaire was assessed via Cronbach’s alpha and split-half.In sum, to analyze the data, SPSS-25 was used. Results: By examining the Promax matrix, the health-related quality of life (SF-36)resulted in a six-factor structure; however, the items of one of the factor due to cross-loading was removed. According to the findings of exploratory factor analysis in 5 factors, the Cronbach’s alpha coefficients ranged from 0.73to 0.97 and split-half ranging from 0.60 to 0.97. Conclusion: The findings revealed that the five-factor model of the Mc health-related quality of life questionnaire (SF-36) has satisfactory validity and reliability. Thus, this questionnaire can be used in future studies to assess the quality of life of patient’s type 2 diabetes.
1. Bairy S, Rao MR, Edla SR, Manthena SR, Tatavarti NG. Effect of an integrated naturopathy and yoga program on long-term glycemic in type 2 diabetes mellitus patients: A prospective cohort study. International Journal of Yoga. 2020 Jan;13(1):42.
2. Hackett G, Cole N, Mulay A, Strange RC, Ramachandran S. Long-term testosterone therapy in type 2 diabetes is associated with decreasing waist circumference and improving erectile function. The world journal of men's health. 2020 Jan 1;38(1):68-77.
3. Guo Z, Liu J, Zeng H, He G, Ren X, Guo J. Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial. Patient preference and adherence. 2019; 13:1353.
4. Wiviott SD, Raz I, Bonaca MP, Mosenzon O, Kato ET, Cahn A, Silverman MG, Zelniker TA, Kuder JF, Murphy SA, Bhatt DL. Dapagliflozin and cardiovascular outcomes in type 2 diabetes. New England Journal of Medicine. 2019, Jan 24;380(4):347-57.
5. AlirezaeiShahraki R, AliakbariKamrani A, Sahaf R, AbolfathiMomtaz Y. Effects of Nationwide Program for Prevention and Control of Diabetes Initiated by the Ministry of Health on Elderly Diabetic Patients’ Knowledge, Attitude and practice in Isfahan.Salmand: Iranian Journal of Ageing. 2019; 14 (1):84-95. (Persian)
6. Ahmadi Bajestani S, AsghariEbrahimAbad M, Kimiyayi, S, AsghariEbrahiAbad, M. The effectiveness of emotionally-focused group therapy on improving emotional expressiveness and sexual functioning of women with type 2 diabetes. Thoughts and Behavior in Clinical Psychology, 2018; 13(50): 47-56. (Persian)
7. Martino G, Catalano A, Bellone F, Russo GT, Vicario CM, Lasco A, Quattropani MC, Morabito N. As time goes by: anxiety negatively affects the perceived quality of life in patients with type 2 diabetes of long duration. Frontiers in psychology. 2019;10:1779.
8. World Health Organization. Global action plan on physical activity 2018-2030: more active people for a healthier world. World Health Organization; 2019 Jan 21.
9. Chaijinda K, Plianbangchang P, Sripariwuth E, Jetiyanon K. Quality of life of patients with chronic liver disease as measured by the abbreviated version of the world health organization quality of life scale. วารสารเภสัชกรรมไทย. 2019 Jan 30;3(2):35-40.
10. Coens C, Pe M, Dueck AC, Sloan J, Basch E, Calvert M, Campbell A, Cleeland C, Cocks K, Collette L, Devlin N. International standards for the analysis of quality-of-life and patient-reported outcome endpoints in cancer randomised controlled trials: recommendations of the SISAQOL Consortium. The Lancet Oncology. 2020, 1;21(2):e83-96.
11. Gehlich KH, Beller J, Lange-Asschenfeldt B, Köcher W, Meinke MC, Lademann J. Consumption of fruits and vegetables: Improved physical health, mental health, physical functioning and cognitive health in older adults from 11 European countries. Aging & Mental Health. 2020 Apr 2;24(4):634-41.
12. Reba K, Birhane BW, Gutema H. Validity and reliability of the Amharic version of the World Health Organization’s quality of life questionnaire (WHOQOL-BREF) in patients with diagnosed type 2 diabetes in FelegeHiwot referral hospital, Ethiopia. Journal of diabetes research. 2019 May 6;2019.
13. Wojtalik JA, Eack SM. Cognitive Enhancement Therapy Improves Social Relationships Quality of Life among Individuals with Schizophrenia Misusing Substances. Social Work Research. 2019 Mar 1;43(1):59-64.
14. Ford J, Anderson C, Gillespie S, Giurgescu C, Nolan T, Nowak A, Williams KP. Social integration and quality of social relationships as protective factors for inflammation in a nationally representative sample of black women. Journal of Urban Health. 2019, 15;96(1):35-43.
15. Anwar M, Sirajuddin S, Amiruddin R, Thaha R, Sudargo T, Hadi AJ. The Effect of Health Social Determinant on the Life Quality of Pregnant Mother. Indian Journal of Public Health Research & Development. 2019;10(10):1604-8.
16. Janssen LM, Hiligsmann M, Elissen AM, Joore MA, Schaper NC, Bosma JH, Stehouwer CD, Sep SJ, Koster A, Schram MT, Evers SM. Burden of disease of type 2 diabetes mellitus: cost of illness and quality of life estimated using the Maastricht Study. Diabetic Medicine. 2020 Feb 28.
17. Kim YJ, Jeong IK, Kim SG, Cho DH, Kim CH, Kim CS, Lee WY, Won KC, Cha JH, Lee J, Kim DM. Changes in the quality of life in patients with type 2 diabetes mellitus according to physician and patient behaviors. Diabetes & metabolism journal. 2020, 1;44(1):91-102.
18. Barua L, Faruque M, Chowdhury HA, Banik PC, Ali L. Healthrelated quality of life and its predictors among the type 2 diabetes population of Bangladesh: A nation‐wide cross‐sectional study. Journal of Diabetes Investigation. 2020, 21.
19. Kline RB. Principles and practice of structural equation modeling. Guilford publications; 2015, 3.
20. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical care. 1992, 1:473-83.
21. LoMartire R, Äng BO, Gerdle B, Vixner L. Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain. Pain. 2020, Jan;161(1):83.
22. Hsieh LF, Lin YT, Wang CP, Liu YF, Tsai CT. Comparison of the effect of Western-made unloading knee brace with physical therapy in Asian patients with medial compartment knee osteoarthritis—A preliminary report. Journal of the Formosan Medical Association. 2020, 1;119(1):319-26.
23. Afra A, Seneyselbachari S, RahimiHassanabad V, Rouhandeh R. The study of the relationship between quality of life and health literacy among students of Abadan Faculty of Medical Sciences.journal of nursing education. 3 JNE. 2019; 8 (1):53-60.(Persian)
24. Samin, T. AkhlaghiKohpaei, H. Prediction of Life Expectancy based on Quality of Life, Perceived Stress and Fatigue in Patients with Multiple Sclerosis (MS). Quarterly Journal of Health Psychology, 2019; 8(29): 101-118. (Persian)
25. Ustaoğlu G, GöllerBulut D, Gümüş KÇ, Ankarali H. Evaluation of the effects of different forms of periodontal diseases on quality of life with OHIP‐14 and SF‐36 questionnaires: A crosssectional study. International journal of dental hygiene. 2019,17(4):343-9.
26. Knight MJ, Lyrtzis E, Baune BT. The association of cognitive deficits with mental and physical Quality of Life in Major Depressive Disorder. Comprehensive Psychiatry. 2020, 1;97:152147.
