The Influence of Family Caregiver Knowledge and Behavior on Elderly Diabetic Patients’ Quality of Life in Northern Thailand
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Subjects
2.2. Data Collection
2.3. Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | (n = 354) n (%) | Diabetes Knowledge | Self-Care Behavior | Quality of Life | |||
---|---|---|---|---|---|---|---|
Mean ± SD | p-Value | Mean ± SD | p-Value | Mean ± SD | p-Value | ||
Sex | 0.017 | 0.858 | 0.961 | ||||
Male | 105 (29.7) | 9.04 ± 4.08 | 7.16 ± 1.54 | 87.16 ± 13.50 | |||
Female | 249 (70.3) | 7.95 ± 3.83 | 7.13 ± 1.60 | 87.24 ± 12.83 | |||
Age | 0.277 | 0.239 | <0.001 | ||||
60–69 years | 210 (59.3) | 8.21 ± 4.01 | 7.24 ± 1.60 | 88.91 ± 13.05 | |||
70–79 years | 108 (30.5) | 8.66 ± 3.82 | 7.04 ± 1.56 | 86.87 ± 12.00 | |||
≥80 years | 36 (10.2) | 7.47 ± 3.79 | 6.81 ± 1.50 | 78.33 ± 12.30 | |||
BMI | 0.554 | 0.123 | 0.006 | ||||
<18.5 kg/m2 | 23 (6.5) | 7.96 ± 4.81 | 6.89 ± 1.67 | 80.87 ± 8.78 | |||
18.5–22.9 kg/ m2 | 126 (35.6) | 7.96 ± 3.94 | 7.01 ± 1.56 | 86.60 ± 12.19 | |||
23.0–24.9 kg/ m2 | 68 (19.2) | 8.76 ± 3.86 | 6.95 ± 1.72 | 87.38 ± 13.14 | |||
≥25.0 kg/ m2 | 137 (38.7) | 8.37 ± 3.82 | 7.39 ± 1.48 | 88.77 ± 14.00 | |||
Education level | 0.348 | 0.582 | <0.001 | ||||
None | 61 (17.3) | 7.62 ± 4.03 | 6.95 ± 1.33 | 81.61 ± 10.17 | |||
Primary school | 233 (65.8) | 8.37 ± 3.72 | 7.19 ± 1.62 | 87.92 ± 13.21 | |||
Secondary school or higher | 60 (16.9) | 8.55 ± 4.59 | 7.12 ± 1.65 | 90.18 ± 13.34 | |||
Marital status | 0.467 | 0.698 | 0.961 | ||||
Married | 210 (59.3) | 8.40 ± 4.07 | 7.17 ± 1.51 | 87.24 ± 13.03 | |||
Unmarried | 144 (40.7) | 8.09 ± 3.72 | 7.10 ± 1.68 | 87.17 ± 13.04 | |||
Employment | 0.253 | 0.043 | 0.715 | ||||
Employed | 169 (47.7) | 8.02 ± 3.99 | 7.31 ± 1.58 | 87.48 ± 12.62 | |||
Unemployed | 185 (52.3) | 8.50 ± 3.88 | 6.97 ± 1.56 | 86.97 ± 13.39 | |||
Perceived financial status | 0.207 | 0.191 | 0.273 | ||||
Sufficient | 169 (47.7) | 8.55 ± 4.05 | 7.02 ± 1.62 | 86.42 ± 13.50 | |||
Insufficient | 185 (52.3) | 8.02 ± 3.82 | 7.24 ± 1.54 | 87.94 ± 12.54 | |||
Living arrangements | 0.578 | 0.037 | <0.001 | ||||
Multilevel family members | 194 (54.8) | 8.09 ± 3.87 | 7.26 ± 1.61 | 86.58 ± 13.69 | |||
One spouse/son/daughter | 129 (36.4) | 8.58 ± 3.86 | 7.08 ± 1.51 | 89.50 ± 12.07 | |||
Relatives | 31 (8.8) | 8.16 ± 4.65 | 6.60 ± 1.59 | 81.65 ± 10.44 | |||
Duration of DM | 0.262 | 0.845 | 0.257 | ||||
≤5 years | 111 (31.4) | 8.77 ± 3.97 | 7.18 ± 1.74 | 88.68 ± 13.41 | |||
6–9 years | 71 (20.0) | 8.14 ± 3.83 | 7.20 ± 1.53 | 87.62 ± 11.83 | |||
≥10 years | 172 (48.6) | 8.01 ± 3.94 | 7.09 ± 1.50 | 86.10 ± 13.19 | |||
Smoking | 0.882 | 0.191 | |||||
Yes | 26 (7.3) | 8.38 ± 4.29 | 7.53 ± 1.51 | 90.62 ± 10.78 | |||
No | 328 (92.7) | 8.27 ± 3.91 | 7.11 ± 1.58 | 86.95 ± 13.15 | |||
Alcohol consumption | 0.887 | 0.924 | 0.106 | ||||
Yes | 54 (15.3) | 8.20 ± 3.94 | 7.16 ± 1.49 | 89.85 ± 12.17 | |||
No | 300 (84.7) | 8.29 ± 3.94 | 7.14 ± 1.60 | 86.74 ± 13.12 | |||
Comorbidities | 0.124 | 0.041 | 0.425 | ||||
Yes | 287 (81.1) | 8.12 ± 3.83 | 7.05 ± 1.53 | 86.95 ± 13.24 | |||
No | 67 (18.9) | 8.94 ± 4.33 | 7.49 ± 1.75 | 88.36 ± 12.03 | |||
Complications | 0.101 | 0.727 | 0.643 | ||||
Yes | 93 (26.3) | 7.70 ± 3.97 | 7.19 ± 1.60 | 86.68 ± 14.43 | |||
No | 261 (73.7) | 8.48 ± 3.91 | 7.12 ± 1.58 | 87.41 ± 12.50 | |||
Activities in daily living | 0.887 | 0.218 | <0.001 | ||||
Dependent (≤12) | 6 (1.7) | 8.50 ± 3.02 | 6.35 ± 1.57 | 67.67 ± 15.44 | |||
Independent (>12) | 348 (98.3) | 8.27 ± 3.95 | 7.16 ± 1.58 | 87.56 ± 12.73 |
Variable | (n = 354) n (%) | Diabetes Knowledge | Self-Care Behaviors | Quality of Life | |||
---|---|---|---|---|---|---|---|
Mean ± SD | p-Value | Mean ± SD | p-Value | Mean ± SD | p-Value | ||
Sex | 0.062 | 0.059 | 0.627 | ||||
Male | 141 (39.8) | 7.79 ± 3.90 | 7.34 ± 1.53 | 86.80 ± 12.55 | |||
Female | 213 (60.2) | 8.59 ± 3.93 | 7.01 ± 1.60 | 87.49 ± 13.33 | |||
Age | 0.853 | 0.332 | 0.459 | ||||
18–39 years | 80 (22.6) | 8.16 ± 3.32 | 7.15 ± 1.59 | 88.18 ± 11.63 | |||
40–59 years | 143 (40.4) | 8.20 ± 3.77 | 7.00 ± 1.51 | 86.18 ± 13.41 | |||
≥60 years | 131 (37.0) | 8.43 ± 4.44 | 7.29 ± 1.64 | 87.76 ± 13.39 | |||
BMI | 0.271 | 0.577 | 0.558 | ||||
<18.5 kg/m2 | 26 (7.3) | 7.35 ± 3.76 | 6.92 ± 1.53 | 84.81 ± 13.15 | |||
18.5–22.9 kg/m2 | 115 (32.5) | 7.90 ± 4.03 | 7.13 ± 1.69 | 86.41 ± 12.81 | |||
23.0–24.9 kg/m2 | 68 (19.2) | 8.65 ± 3.91 | 7.36 ± 1.60 | 88.30 ± 13.89 | |||
≥25.0 kg/m2 | 145 (41.0) | 8.57 ± 3.88 | 7.09 ± 1.50 | 87.77 ± 12.77 | |||
Education level | 0.852 | 0.833 | 0.423 | ||||
None | 14 (4.0) | 8.86 ± 3.25 | 7.05 ± 1.61 | 88.93 ± 17.00 | |||
Primary school | 153 (43.2) | 8.24 ± 4.00 | 7.09 ± 1.67 | 88.09 ± 13.63 | |||
Secondary school or higher | 187 (52.8) | 8.26 ± 3.93 | 7.19 ± 1.50 | 86.37 ± 12.15 | |||
Marital status | 0.531 | 0.185 | 0.564 | ||||
Married | 247 (69.8) | 8.36 ± 3.81 | 7.21 ± 1.55 | 86.95 ± 13.40 | |||
Unmarried | 107 (30.2) | 8.07 ± 4.22 | 6.98 ± 1.63 | 87.82 ± 12.12 | |||
Monthly family income | 0.855 | 0.419 | 0.268 | ||||
<5000 THB | 153 (43.2) | 8.39 ± 3.97 | 7.24 ± 1.63 | 88.29 ± 13.29 | |||
5000-10,000 THB | 95 (26.8) | 8.26 ± 3.92 | 7.17 ± 1.54 | 85.53 ± 12.98 | |||
≥10,001 THB | 106 (30.0) | 8.11 ± 3.92 | 6.98 ± 1.54 | 87.18 ± 12.59 | |||
Smoking | 0.657 | 0.195 | 0.056 | ||||
Yes | 39 (11.0) | 8.54 ± 3.83 | 6.83 ± 1.64 | 83.46 ± 12.33 | |||
No | 315 (89.0) | 8.24 ± 3.95 | 7.18 ± 1.56 | 87.68 ± 13.04 | |||
Alcohol consumption | 0.989 | 0.879 | 0.234 | ||||
Yes | 115 (32.5) | 8.28 ± 4.03 | 7.12 ± 1.50 | 86.03 ± 1267 | |||
No | 239 (67.5) | 8.27 ± 3.89 | 7.15 ± 1.62 | 87.79 ± 13.16 | |||
Caregiver relationship to patient | 0.703 | 0.448 | 0.858 | ||||
Spouse | 131 (37.0) | 8.35 ± 4.48 | 7.28 ± 1.60 | 87.16 ± 13.33 | |||
Son or daughter | 137 (38.7) | 8.39 ± 3.50 | 7.08 ± 1.48 | 87.63 ± 12.62 | |||
Relatives | 86 (24.3) | 7.97 ± 3.70 | 7.03 ± 1.70 | 86.64 ± 13.27 | |||
Years of caring experience | 0.695 | 0.598 | 0.435 | ||||
<5 years | 166 (46.9) | 8.19 ± 3.90 | 7.19 ± 1.54 | 86.64 ± 11.96 | |||
≥5 years | 188 (53.1) | 8.35 ± 3.97 | 7.10 ± 1.61 | 87.72 ± 13.89 | |||
Time spent caring | 0.107 | 0.855 | 0.892 | ||||
≤7 h/day | 164 (46.3) | 8.32 ± 4.25 | 7.10 ± 1.67 | 86.87 ± 12.37 | |||
8–16 h/day | 102 (28.8) | 8.79 ± 3.51 | 7.14 ± 1.41 | 87.63 ± 13.11 | |||
≥17 h/day | 88 (24.9) | 7.59 ± 3.71 | 7.22 ± 1.60 | 87.21 ± 14.16 | |||
Having secondary caregiver | 0.257 | 0.786 | 0.773 | ||||
Yes | 211 (59.6) | 8.47 ± 3.83 | 7.12 ± 1.55 | 87.38 ± 13.84 | |||
No | 143 (40.4) | 7.99 ± 4.07 | 7.16 ± 1.62 | 86.97 ± 11.73 |
Variable | n (%) | Mean ± SD | Min–Max |
---|---|---|---|
Patients’ diabetes knowledge | |||
Total score | 8.27 ± 3.93 | 0–20 | |
Percentile: | |||
76–100% correct | 11 (3.1) | ||
51–75% correct | 90 (25.4) | ||
26–50% correct | 160 (45.2) | ||
0–25% correct | 93 (26.3) | ||
Patients’ self-care behaviors | |||
Total DSMQ (sum-scale; SS) | 7.14 ± 1.58 | 2.50–10.00 | |
Subscale: | |||
Glucose management (GM) | 7.60 ± 2.15 | 0.67–10.00 | |
Dietary control (DC) | 7.17 ± 1.82 | 1.70–10.00 | |
Physical activity (PA) | 6.34 ± 2.51 | 0.00–10.00 | |
Health-care use (HU) | 7.23 ± 1.98 | 1.10–10.00 | |
Patients’ QOL | |||
Total QOL | 87.21 ± 13.01 | 37–120 | |
Low level (≤55) | 2 (0.6) | ||
Moderate level (56–88) | 198 (55.9) | ||
High level (≥89) | 154 (43.5) | ||
Facet: | |||
Sensory functioning (SAB) | 14.72 ± 3.33 | 5–20 | |
Autonomy (AUT) | 13.65 ± 3.09 | 4–20 | |
Past present and future activities (PFF) | 14.39 ± 2.64 | 6–20 | |
Social participation (SOP) | 13.62 ± 3.04 | 4–20 | |
Death and dying (DAD) | 16.53 ± 3.27 | 6–20 | |
Intimacy (INT) | 14.30 ± 2.56 | 4–20 | |
Caregivers’ diabetes knowledge | |||
Total score | 8.42 ± 3.79 | 0–20 | |
Percentile: | |||
76–100% correct | 12 (3.4) | ||
51–75% correct | 91 (25.7) | ||
26–50% correct | 168 (47.5) | ||
0–25% correct | 83 (23.4) | ||
Caregivers’ patient-care behaviors | |||
Total DSMQ (sum-scale; SS) | 7.40 ± 1.58 | 3.33–10.00 | |
Subscale: | |||
Glucose management (GM) | 7.34 ± 2.08 | 1.33–10.00 | |
Dietary control (DC) | 7.84 ± 1.67 | 2.50–10.00 | |
Physical activity (PA) | 7.27 ± 2.34 | 0.00–10.00 | |
Health-care use (HU) | 7.22 ± 1.82 | 2.22–10.00 |
Variable | B | SE | Beta | p-Value | R Square |
---|---|---|---|---|---|
Univariable | |||||
(Constant) | 6.00 | 0.18 | <0.001 * | 11.9% | |
Patients’ diabetes knowledge (score) | 0.14 | 0.02 | 0.344 | <0.001 * | |
(Constant) | 5.94 | 0.19 | <0.001 * | 11.7% | |
Caregivers’ diabetes knowledge (score) | 0.14 | 0.02 | 0.341 | <0.001 * | |
Multivariable | |||||
(Constant) | 6.40 | 0.41 | <0.001 * | 15.3% | |
Employment (unemployed) | −0.36 | 0.16 | −0.114 | 0.028 * | |
Comorbidities (no) | 0.25 | 0.21 | 0.061 | 0.233 | |
Living arrangements: | |||||
Multilevel family members | 0.61 | 0.29 | 0.193 | 0.033 * | |
One spouse/son/daughter | 0.32 | 0.30 | 0.097 | 0.287 | |
Relatives | Ref. | ||||
Patients’ diabetes knowledge (score) | 0.14 | 0.02 | 0.351 | <0.001 * |
Variable | B | SE | Beta | p-Value | R Square |
---|---|---|---|---|---|
Univariable | |||||
(Constant) | 76.85 | 1.50 | <0.001 * | 14.3% | |
Patients’ diabetes knowledge (score) | 1.25 | 0.16 | 0.379 | <0.001 * | |
(Constant) | 65.84 | 2.99 | <0.001 * | 13.2% | |
Patients’ self-care behaviors (score) | 3.00 | 0.41 | 0.363 | <0.001 * | |
(Constant) | 79.07 | 1.62 | <0.001 * | 7.9% | |
Caregivers’ diabetes knowledge (score) | 0.97 | 0.18 | 0.282 | <0.001 * | |
(Constant) | 65.62 | 3.12 | <0.001 * | 12.4% | |
Caregivers’ patient-care behaviors (score) | 2.92 | 0.41 | 0.353 | <0.001 * | |
Multivariable | |||||
(Constant) | 76.93 | 8.93 | <0.001 * | 27.0% | |
Patients’ ages (years) | −0.34 | 0.09 | −0.183 | <0.001 * | |
Patients’ BMI (kg/m2) | 0.06 | 0.15 | 0.020 | 0.680 | |
Patients’ education level: | |||||
None | Ref. | ||||
Primary school | 3.35 | 1.71 | 0.122 | 0.051 | |
Secondary school or higher | 5.84 | 2.12 | 0.169 | 0.006 | |
Living arrangements: | |||||
Multilevel family members | 2.00 | 2.21 | 0.077 | 0.365 | |
One spouse/son/daughter | 4.99 | 2.28 | 0.185 | 0.030 * | |
Relatives | Ref. | ||||
Patients’ self-care behaviors (score) | 1.58 | 0.48 | 0.192 | 0.001 * | |
Caregivers’ diabetes knowledge (score) | 0.58 | 0.17 | 0.169 | 0.001 * | |
Caregivers’ patient-care behaviors (score) | 1.38 | 0.47 | 0.167 | 0.004 * |
Variable | SS | GM | DC | PA | HU | QoL |
---|---|---|---|---|---|---|
Patients’ self-care behaviors and QoL | ||||||
Sum-scale (SS) | 1 | |||||
Glucose management (GM) | 0.772 * | 1 | ||||
Dietary control (DC) | 0.769 * | 0.421 * | 1 | |||
Physical activity (PA) | 0.680 * | 0.243 * | 0.489 * | 1 | ||
Health-care use (HU) | 0.703 * | 0.452 * | 0.420 * | 0.331 * | 1 | |
Patients’ QoL | 0.363 * | 0.266 * | 0.183 * | 0.287 * | 0.335 * | 1 |
Caregivers’ patient-care behaviors and patients’ QoL | ||||||
Sum-scale (SS) | 1 | |||||
Glucose management (GM) | 0.766 * | 1 | ||||
Dietary control (DC) | 0.819 * | 0.480 * | 1 | |||
Physical activity (PA) | 0.812 * | 0.402 * | 0.648 * | 1 | ||
Health-care use (HU) | 0.733 * | 0.376 * | 0.524 * | 0.553 * | 1 | |
Patients’ QoL | 0.353 * | 0.139 * | 0.327 * | 0.350 * | 0.373 * | 1 |
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Thongduang, K.; Boonchieng, W.; Chautrakarn, S.; Ong-Artborirak, P. The Influence of Family Caregiver Knowledge and Behavior on Elderly Diabetic Patients’ Quality of Life in Northern Thailand. Int. J. Environ. Res. Public Health 2022, 19, 10216. https://doi.org/10.3390/ijerph191610216
Thongduang K, Boonchieng W, Chautrakarn S, Ong-Artborirak P. The Influence of Family Caregiver Knowledge and Behavior on Elderly Diabetic Patients’ Quality of Life in Northern Thailand. International Journal of Environmental Research and Public Health. 2022; 19(16):10216. https://doi.org/10.3390/ijerph191610216
Chicago/Turabian StyleThongduang, Kitbordin, Waraporn Boonchieng, Sineenart Chautrakarn, and Parichat Ong-Artborirak. 2022. "The Influence of Family Caregiver Knowledge and Behavior on Elderly Diabetic Patients’ Quality of Life in Northern Thailand" International Journal of Environmental Research and Public Health 19, no. 16: 10216. https://doi.org/10.3390/ijerph191610216