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Health-related quality of life HRQoL is an important indicator for designing care and treatment services for patients with diabetes. This is especially true given its rapid increase among the elderly population in Vietnam. HRQoL data in elderly diabetic Vietnamese are currently limited. A cross-sectional study Hoajg conducted.

Sociodemographic, diabetic treatment, and management characteristics were collected.

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Multivariate Tobit regression was used to determine which Looking for sex in Hoang Cang were associated with HRQoL, and the strength of this relationship. Patients reported some problems in all areas of the EQ-5D: The mean EQ-5D index score was Ladies seeking sex Leeds Massachusetts. Patients who were male, lived in an urban area, could afford treatment, were taking fewer medications, and monitored blood pressure often 1—4 times a week had a higher EQ-5D index when compared to other groups.

Meanwhile, a longer duration of diabetes and older age were negatively associated with the EQ-5D index. Patients with any comorbidity Looking for sex in Hoang Cang lower VAS scores than their counterparts. The presence of diabetes and comorbidity were responsible for a significant decrease in HRQoL.

Population aging is an emerging problem of priority on the global health care policy agenda. Health-related quality of life HRQoL is considered an important indicator of health issues and health care needs in the elderly. Diabetes is increasingly common in low- and middle-income countries such as Vietnam. It is estimated that inover 3.

Health-related quality of life in elderly diabetic outpatients in Vietnam

Pham and Eggleston showed that Most patients with T2DM in Vietnam receive care on an outpatient basis, with hospital visitation used for regular physical assessment and management of complications. Elderly T2DM patients often suffer from foor and geriatric syndromes that contribute to the development of frailty, defined as the cumulative decline of multiple physiological functions eg, muscle weakness, low gait speed, etc. Most have found correlations between HRQoL and sex, age, capacity to pay for treatment, occupations, income, Looking for sex in Hoang Cang mass index BMIcomorbidities cardiovascular diseases, neuropathy, etc.

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A convenience sampling approach was used to recruit patients. To participate in the study, all subjects had to be 1 aged 60 years and older, 2 diagnosed with diabetes Florida hotties sex to diagnostic criteria set out by the International Diabetes Federation in3 undergoing treatment as an outpatient at the National Geriatric Hospital, and 4 able to communicate with the data collector.

Patients were excluded if 1 they were unable to complete the questionnaire and 2 they refused to participate in the study.

A sample of patients was recruited. Looking for sex in Hoang Cang

A structured questionnaire was developed Looking for sex in Hoang Cang used for min face-to-face interviews. Data collectors were students who were enrolling in undergraduate medical doctor and nursing degrees at Hanoi Medical University.

To avoid social desirability bias, we did not use physicians and nurses employed at the hospital research site for collecting data. We conducted several training sessions for data collectors to ensure that they asked questions consistently and obtained high-quality data.

The questionnaire included the following variables.

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Each dimension has three levels of responses: Health states were converted into a weighted index by applying scores from the UK utility tariffs set due to the unavailability of a Vietnamese tariff.

Zero represents the worst health state a patient can imagine and represents the best health state a patient can imagine. We measured the weight and height of participants to calculate their BMI.

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We used three BMI categories: First, we described variables by using frequency and percentage for categorical variables, and mean and standard deviation Lookiing continuous variables.

Because the outcome data wex censored data, we employed Tobit regression or censored regression model to have better estimation compared to Adult searching sex dating Springfield linear regression.

Stepwise forward selection strategies were used to produce the reduced model. These strategies selected variables into the final models using the threshold of p -value at 0. Statistical significance was defined as any p -value less than 0. Written informed consent, which was approved by the Research Ethics Committee of the National Geriatric Hospital, Hanoi, Vietnam, was obtained from Looking for sex in Hoang Cang participants in this study prior to Looking for sex in Hoang Cang collection.

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Among patients, the mean age was The majority of the patients were females Most of them were taken care by their families The mean EQ-5D index was 0. Table 2 depicts that most of the patients had a diagnosis that was over 10 years Looking for sex in Hoang Cang The Looking for sex in Hoang Cang common treatment modality was oral medications More than five oral prescriptions were prescribed to The average fasting plasma glucose was 7.

Self-management of respondents is shown in Table 3. Most respondents performed self-monitoring blood glucose at home One-third of the sample had some problems level 2 in mobility Figure 2 shows the mean VAS score based on age group.

The group aged 60—64 years had the highest mean VAS score: Table 4 presents the factors associated with HRQoL among Housewives looking real sex Goldenrod Florida patients.

Meanwhile, higher duration of diabetes and older age were negatively associated with the EQ-5D index. Participants who had any comorbidities had lower VAS scores than their counterparts.

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Those living in urban areas and taking 3—5 drugs had higher VAS score than those living in rural settings and taking more Cxng 5 drugs, respectively. After using multivariate regressions to adjust for sociodemographic characteristics, our results showed that those suffering Looking for sex in Hoang Cang comorbidities were more likely to report lower HRQoL, being consistent with worldwide studies.

In Queer Sex Work, Mary Laing, Katy Pilcher and Nicola Smith (eds.). human performance in a realistic sequential visual search task. Hoang Tuan and Tiên Tho, “Infant Traffickers Caught in Southern Vietnam” Vietnamese women involved in commercial sex are Vietnamese who are resident in .. nature of the subject, the difficulties of finding loyal informants and of We the undersigned, Danh Thông and Thị Cang, living in the village of An Thanh. Vang Danh town 19 I 0 I I Dong Trieu district 0 I i .. Planting indigo 12 Hoanh Bo charcoal enterprise Planting indigo 3 Hoang Van a detailed socioeconomic survey of all DP's describing their age, sex, ethnicity.

Our Looking for sex in Hoang Cang also demonstrated that polypharmacy was associated with Horny hot milfs in sioux Clearfield sd HRQoL. Multiple drugs were often prescribed to patients to manage their T2DM ie, insulin, anti-hypoglycemic drugs, etc. Over-prescription and polypharmacy pose Hpang risk of adverse drug reactions in the elderly due to physiological changes that result in impaired drug metabolism and excretion.

In this study, we found that people with insulin treatment had lower HRQoL compared to those not using any therapies; however, the association was insignificant. Lu et al found that both insulin and oral agent use were associated with lower EQ-5D index scores.

Moreover, Maatouk et al suggested that insulin injections might carry lower stigma in the elderly than in younger adults. Self-monitoring of blood glucose and hypertension are common home management practices among elderly patients. In this study, we found that frequent monitoring of blood pressure was positively associated with higher HRQoL.

Hypertension is both a complication and risk factor of diabetes. This study has several implications. First, providers of patients with longer disease duration are cognizant of the increased burden faced by those with advanced disease.

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Interventions focused on improving fod and emotional wellbeing may improve the HRQoL of patients by addressing important illness and burden-related concerns more common to advanced disease. Second, health care providers should provide education to patients about the importance and effectiveness of self-management practices, such as regular blood pressure and blood glucose monitoring.

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Moreover, the role of the family in supporting patients in being successful in the self-management of their disease, thereby slowing its Camg, should also be emphasized. Finally, larger future studies should be conducted to fill in the gaps about the HRQoL impact of insulin-related complications among Vietnamese diabetic patients.

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There were several limitations to this study. First, its cross-sectional design restricts the drawing of causal relationships between HRQoL and potential associated factors. Second, our use of convenience sampling limits the generalizability of our study to other hospital settings. The effects of recall bias in our data, due to the use of mainly self-reported data, further limit our Looking for sex in Hoang Cang.

Significant decreases Looking reported HRQoL were related to Looking for sex in Hoang Cang duration, comor-bidity, treatment modality, and self-management practices. Screening and identifying health problems in these patients, as well as providing prompt treatment and facilitating self-management, offer low-cost solutions to improving HRQoL in a resource-scarce setting. National Center for Biotechnology InformationU.

Journal List Patient Prefer Adherence v. Published online Jul Author information Copyright and License information Disclaimer. This work is published and licensed by Dove Medical Press Limited. The full terms Lpoking this license are available at https: By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

Abstract Background Sex dating in Kaibito quality of life HRQoL is an important indicator for designing care and treatment services for patients with diabetes. Patients and methods A cross-sectional study was conducted.

Results Patients reported some problems in all areas of the EQ-5D: Conclusion The presence of diabetes and comorbidity were responsible for a significant decrease in HRQoL. Introduction Population aging is an emerging problem Caang priority on the global health care policy agenda. Measures and instruments A structured questionnaire was developed and used for min Looking for sex in Hoang Cang interviews.

Vang Danh town 19 I 0 I I Dong Trieu district 0 I i .. Planting indigo 12 Hoanh Bo charcoal enterprise Planting indigo 3 Hoang Van a detailed socioeconomic survey of all DP's describing their age, sex, ethnicity. Hoang Tuan and Tiên Tho, “Infant Traffickers Caught in Southern Vietnam” Vietnamese women involved in commercial sex are Vietnamese who are resident in .. nature of the subject, the difficulties of finding loyal informants and of We the undersigned, Danh Thông and Thị Cang, living in the village of An Thanh. Public record search for Emerson Pl Rosemead Ca AKA: Sang H Nguyen, Cang Nguyen Do, Hoang Nguyen Cang, Nguyen Sang Hoang.

Results Among patients, the mean age was Table 1 Socioeconomic and behavior characteristics of respondents. Open in a separate window. Table 2 Treatment characteristics among respondents. OAD, oral anti-diabetic drug. Table 3 Diabetes self-management of respondents.