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      Familia y calidad de vida en pacientes diabéticos con COVID 19 de un hospital nacional Translated title: Family and quality of life in diabetic patients with COVID 19 from a national hospital

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          Abstract

          Resumen La familia es uno de los sistemas más importantes que contribuyen a la salud y favorecen a la mejora de la calidad de vida. El objetivo fue determinar como el tipo de familia se relaciona con la calidad de vida en pacientes diabéticos con COVID 19, empleando un enfoque cuantitativo. Para valorar la calidad de vida relacionada a la salud en pacientes con diabetes, se utilizó el instrumento Diabetes-39 (D-39). Después del análisis de la información se pudo concluir que no existe relación entre el tipo de familia y la calidad de vida del paciente diabético portador de COVID 19. Sin embargo, Este estudio encontró que, con el aumento de la edad, la vida sexual y la movilidad del paciente diabético también se ven afectadas.

          Translated abstract

          Abstract The family is one of the most important systems that contribute to health and favor the improvement of the quality of life. The objective was to determine how the type of family is related to the quality of life in diabetic patients with COVID 19, it was a quantitative approach. To assess the health-related quality of life in patients with diabetes, the Diabetes 39 (D-39) instrument was used. After analyzing the information, it was possible to conclude that there is no relationship between the type of family and the quality of life of the diabetic patient with COVID 19. However, this study found that, with increasing age, sexual life and the mobility of the diabetic patient is also affected.

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          Diabetes self-management amid COVID-19 pandemic

          Background and aims COVID-19 pandemic has challenged the physician-centered approach of diabetes care in India that is primarily based on routine clinic visits. We aim to review the various aspects of patient-centered care via diabetes self-management education based on available literature. Methods This is a narrative review using Pubmed, EMBASE and Google Scholar search till March 29, 2020. Search terms were “COVID-19”, “diabetes self-care”, “diabetes self-management education”, “DSME”, “diabetes self-management in India”, “diabetes self-care in India” and “DSME in India”. Results We have discussed an educational plan on diabetes self-management that can be adopted for people with diabetes mellitus in our country amid the ongoing pandemic. We have also identified the barriers to diabetes self-management in the current scenario and suggested possible solutions to overcome those. Conclusions We have reemphasized the need for a simultaneous patient-centered approach in routine diabetes care that has to be coordinated by a multidisciplinary team amid the ongoing COVID-19 pandemic.
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            Disease-specific health-related quality of life instruments among adults diabetic: A systematic review.

            This paper provides a systematic review on health-related quality of life (HRQoL) measures in diabetic patients. For each included study, a description of the measure and its psychometric findings is provided. To evaluate these measures, a databases search (Medline, Scopus and Proqolid) was undertaken to identify relevant publications. Instruments were assessed according to predefined inclusion and exclusion criteria. Sixteen instruments met the inclusion criteria among 1049 references produced: appraisal of diabetes scale (ADS), audit of diabetes-dependent quality of life (ADDQoL), diabetes-39 (D-39), diabetes care profile (DCP), diabetes distress scale (DDS), diabetes health profile (DHP-1, DHP-18), diabetes impact measurement scales (DIMS), diabetes quality of life measure (DQOL), diabetes quality of life clinical trial questionnaire-revised (DQLCTQ-R), diabetes-specific quality of life scale (DSQOLS), elderly diabetes burden scale (EDBS), insulin delivery system rating questionnaire (IDSRQ), quality of life with diabetes questionnaire (LQD), problem areas in diabetes scale (PAID), questionnaire on stress in diabetic patients-revised (QSD-R) and well-being enquiry for diabetics (WED). All those instruments have been developed in northern countries. The shortest instrument (ADS) has seven items and the longest (IDSRQ) has 67 items. ADDQoL was widely translated followed by DHP and PAID. Only authors of ADS and DIMS have not involved patients in the construction of instruments. The authors of instruments: ADS, ADDQoL, DHP, D-39, and PAID reported the item-total correlation which is ranged from 0.28 to 0.84. The ADS, DQOL, EDBS, IDSRQ, LQD, PAID, QSD-R, and WED have been assessed for test-retest reliability which varies between 0.27 and 0.99. The DQLCTQ-R, DQOL and IDSRQ were not subjected to factor analysis. Responsiveness was assessed in PAID with effect sizes and ranged from 0.32 to 0.65 for interventions. Four domains were responsive to clinical change in metabolic control in DQLCTQ-R. The other instruments were not been formally assessed for responsiveness. This review found evidence that the instruments: ADDQoL, D-39, DDS, DHP1/18, DSQOLS, EDBS and QSD-R had adequate psychometric properties. For future research, responsiveness should be a priority and further study is also required to examine the effect of ethnicity and to determine the validity of these scales in developing countries.
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              Stress and A1c Among People with Diabetes Across the Lifespan

              Stress is known to negatively affect health and is a potentially serious barrier to diabetes-related health outcomes. This paper synthesizes what is known about stress and glycemic control among people with type 1 and type 2 diabetes across the lifespan. Chronic stress—especially in relation to living with diabetes—was most strongly associated with A1c, particularly among subgroups that face disproportionate stress, such as minority groups or adolescents/young adults. Mechanisms of the stress-A1c association include physiological, psychological, behavioral, and environmental links. Understanding the dimensions of stress as they relate to health in diabetes can be of significant clinical importance, and interventions targeting mechanisms that either exacerbate or buffer stress have reported modest improvements in A1c.
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                Author and article information

                Journal
                ene
                Ene
                Ene.
                Martín Rodríguez Álvaro (Santa Cruz de La Palma, La Palma, Spain )
                1988-348X
                2021
                : 15
                : 2
                : 1231
                Affiliations
                [2] Lima orgnameHospital 2 de Mayo Perú
                [1] Lima Lima orgnameUniversidad Privada Norbert Wiener Peru
                Article
                S1988-348X2021000200003 S1988-348X(21)01500200003
                a65fd008-59d8-475d-a139-92bedd671aec

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : April 2021
                : January 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 16, Pages: 0
                Product

                SciELO Spain

                Categories
                Artículos

                Familia,Calidad de Vida,Diabetes tipo 2,COVID 19,Family,Quality of life,Type 2 diabetes

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