Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus

Publication type:
Journal article
Metadata:
Autoren
  • Anke Braun
  • Alexander Sämann
  • Thomas Kubiak
  • Tania Zieschang
  • Christof Kloos
  • Ulrich Alfons Müller
  • Peter Oster
  • Gunter Wolf
  • Ralf Schiel
Sammlungen
  • metadata
ISSN
0738-3991
Ausgabe der Veröffentlichung
1
Zeitschrift
Patient education and counseling
Schlüsselwörter
  • 150 Psychologie
  • 150 Psychology
Sprache
eng
Paginierung
Seiten: 50 - 59
Datum der Veröffentlichung
2008
Herausgeber
Elsevier
Herausgeber URL
http://dx.doi.org/10.1016/j.pec.2008.05.005
Datum der Datenerfassung
2020
Datum, an dem der Datensatz öffentlich gemacht wurde
2020
Zugang
Public
Titel
Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus
Ausgabe der Zeitschrift
73

Data source: METADATA.UB

Other metadata sources:
Autoren
  • Anke Braun
  • Alexander Saemann
  • Thomas Kubiak
  • Tania Zieschang
  • Christof Kloos
  • Ulrich Alfons Mueller
  • Peter Oster
  • Gunter Wolf
  • Ralf Schiel
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000259774100009&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1016/j.pec.2008.05.005
Externe Identifier
  • Clarivate Analytics Document Solution ID: 356JI
  • PubMed Identifier: 18583087
ISSN
0738-3991
Ausgabe der Veröffentlichung
1
Zeitschrift
PATIENT EDUCATION AND COUNSELING
Schlüsselwörter
  • type 2 diabetes mellitus
  • treatment and teaching program
  • education
  • quality of life
  • hypoglycaemia
  • insulin therapy
Paginierung
50 - 59
Datum der Veröffentlichung
2008
Status
Published
Titel
Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus
Sub types
  • Article
Ausgabe der Zeitschrift
73

Data source: Web of Science (Lite)

Autoren
  • Anke Braun
  • Alexander Sämann
  • Thomas Kubiak
  • Tania Zieschang
  • Christof Kloos
  • Ulrich Alfons Müller
  • Peter Oster
  • Gunter Wolf
  • Ralf Schiel
DOI
10.1016/j.pec.2008.05.005
ISSN
0738-3991
Ausgabe der Veröffentlichung
1
Zeitschrift
Patient Education and Counseling
Sprache
en
Paginierung
50 - 59
Datum der Veröffentlichung
2008
Status
Published
Herausgeber
Elsevier BV
Herausgeber URL
http://dx.doi.org/10.1016/j.pec.2008.05.005
Datum der Datenerfassung
2018
Titel
Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus
Ausgabe der Zeitschrift
73

Data source: Crossref

Abstract
<h4>Objective</h4>The objective of this study was to evaluate the impact of initiation of insulin therapy, metabolic control and structured patient education on the diabetes-related quality of life (QoL) in insulin-treated patients with type 2 diabetes mellitus.<h4>Methods</h4>This prospective study was conducted with 71 consecutively recruited patients with insulin-treated diabetes at the University hospital. All patients participated an inpatient diabetes treatment and teaching program (DTTP) for conventional insulin therapy (mean age 68.9 years, HbA1c 10.1+/-1.4%, diabetes duration 11.2 years (range: 0-25.5 years), body-mass-index 28.7+/-5.7 kg/m(2). Diabetes-related quality of life was assessed before and 6 months after participation in the DTTP using the standardized questionnaire of Lohr analysing the subscales: social relations, physical complaints, worries about the future, dietary restrictions, fear of hypoglycaemia, and daily struggles.<h4>Results</h4>Only patients switched on insulin therapy showed significant improvement in diabetes-related quality of life 6 months after participation in the DTTP (p=0.03), fewer physical complaints (p=0.03), fewer worries about the future (p=0.02), fewer daily struggles (p=0.01) and less fear of hypoglycaemia (p<0.001), while patients, who were already on insulin therapy showed no improvements in diabetes-related quality of life. Though, residual analysis reveals that effects on patients' QoL are mainly caused by improvements in metabolic control.<h4>Conclusions</h4>Improvements in metabolic control have a significant effect on different diabetes-related quality of life domains in patients with diabetes mellitus.<h4>Practice implications</h4>Appropriate interventions resulting in better metabolic control, such as starting on insulin therapy within a structured patient education program seem to be an effective approach to improve patients' diabetes-related quality of life.
Addresses
  • Bethanien Hospital, Department of Geriatrics at the University of Heidelberg, Heidelberg, Germany. abraun@bethanien-heidelberg.de
Autoren
  • Anke Braun
  • Alexander Sämann
  • Thomas Kubiak
  • Tania Zieschang
  • Christof Kloos
  • Ulrich Alfons Müller
  • Peter Oster
  • Gunter Wolf
  • Ralf Schiel
DOI
10.1016/j.pec.2008.05.005
eISSN
1873-5134
Externe Identifier
  • PubMed Identifier: 18583087
Open access
false
ISSN
0738-3991
Ausgabe der Veröffentlichung
1
Zeitschrift
Patient education and counseling
Schlüsselwörter
  • Humans
  • Diabetes Mellitus, Type 2
  • Hypoglycemia
  • Insulin
  • Hypoglycemic Agents
  • Blood Glucose Self-Monitoring
  • Multivariate Analysis
  • Prospective Studies
  • Attitude to Health
  • Fear
  • Age Factors
  • Quality of Life
  • Aged
  • Aged, 80 and over
  • Middle Aged
  • Germany
  • Female
  • Male
  • Patient Education as Topic
Sprache
eng
Medium
Print-Electronic
Online publication date
2008
Paginierung
50 - 59
Datum der Veröffentlichung
2008
Status
Published
Datum der Datenerfassung
2008
Titel
Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus.
Sub types
  • Comparative Study
  • Clinical Trial
  • Journal Article
Ausgabe der Zeitschrift
73

Data source: Europe PubMed Central

Abstract
OBJECTIVE: The objective of this study was to evaluate the impact of initiation of insulin therapy, metabolic control and structured patient education on the diabetes-related quality of life (QoL) in insulin-treated patients with type 2 diabetes mellitus. METHODS: This prospective study was conducted with 71 consecutively recruited patients with insulin-treated diabetes at the University hospital. All patients participated an inpatient diabetes treatment and teaching program (DTTP) for conventional insulin therapy (mean age 68.9 years, HbA1c 10.1+/-1.4%, diabetes duration 11.2 years (range: 0-25.5 years), body-mass-index 28.7+/-5.7 kg/m(2). Diabetes-related quality of life was assessed before and 6 months after participation in the DTTP using the standardized questionnaire of Lohr analysing the subscales: social relations, physical complaints, worries about the future, dietary restrictions, fear of hypoglycaemia, and daily struggles. RESULTS: Only patients switched on insulin therapy showed significant improvement in diabetes-related quality of life 6 months after participation in the DTTP (p=0.03), fewer physical complaints (p=0.03), fewer worries about the future (p=0.02), fewer daily struggles (p=0.01) and less fear of hypoglycaemia (p<0.001), while patients, who were already on insulin therapy showed no improvements in diabetes-related quality of life. Though, residual analysis reveals that effects on patients' QoL are mainly caused by improvements in metabolic control. CONCLUSIONS: Improvements in metabolic control have a significant effect on different diabetes-related quality of life domains in patients with diabetes mellitus. PRACTICE IMPLICATIONS: Appropriate interventions resulting in better metabolic control, such as starting on insulin therapy within a structured patient education program seem to be an effective approach to improve patients' diabetes-related quality of life.
Date of acceptance
2008
Autoren
  • Anke Braun
  • Alexander Sämann
  • Thomas Kubiak
  • Tania Zieschang
  • Christof Kloos
  • Ulrich Alfons Müller
  • Peter Oster
  • Gunter Wolf
  • Ralf Schiel
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/18583087
DOI
10.1016/j.pec.2008.05.005
ISSN
0738-3991
Ausgabe der Veröffentlichung
1
Zeitschrift
Patient Educ Couns
Schlüsselwörter
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Attitude to Health
  • Blood Glucose Self-Monitoring
  • Diabetes Mellitus, Type 2
  • Fear
  • Female
  • Germany
  • Humans
  • Hypoglycemia
  • Hypoglycemic Agents
  • Insulin
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Patient Education as Topic
  • Prospective Studies
  • Quality of Life
Sprache
eng
Country
Ireland
Paginierung
50 - 59
PII
S0738-3991(08)00222-X
Datum der Veröffentlichung
2008
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2008
Titel
Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus.
Sub types
  • Clinical Trial
  • Comparative Study
  • Journal Article
Ausgabe der Zeitschrift
73

Data source: PubMed

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