Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model
Abstract Background Quality of life (QoL) is the most important indicator for assessing the status of health care in chronic diseases. The present study aimed to determine the pathway determinants model of QoL in patients with gestational diabetes mellitus (GDM). Methods This cross-sectional study w...
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-020-01293-4 |
| _version_ | 1818150949750833152 |
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| author | Soheila Ansarzadeh Leili Salehi Zohreh Mahmoodi Abolfazl Mohammadbeigi |
| author_facet | Soheila Ansarzadeh Leili Salehi Zohreh Mahmoodi Abolfazl Mohammadbeigi |
| author_sort | Soheila Ansarzadeh |
| collection | DOAJ |
| description | Abstract Background Quality of life (QoL) is the most important indicator for assessing the status of health care in chronic diseases. The present study aimed to determine the pathway determinants model of QoL in patients with gestational diabetes mellitus (GDM). Methods This cross-sectional study was conducted on 329 women with GM referred to health care centers in Qom, Iran during 2018. Convenience sampling methods was used. Inclusion criteria were: afflicted by GM and received pregnancy care services from health center. Several questionnaires (Knowledge, attitude, self-efficacy (SE), social support (SS), pregnancy distress, self-management(SM) and QoL) were used for data collection. Data were analyzed with SPSS-21 and Lisrel-8.8 software using statistical path analysis. Results The mean age of participants was 30.93 ± 5.42 years. The final path model fitted well (CFI =1, RMSEA = 0.0003) and showed that, only age variable from both direct and indirect path had an impact on QoL (B = 0.51). Among variables that directly affected the QoL, SS had the highest effect (B = 1.02) and SE (B = 0.01) had the lowest effect. In the indirect path, only the knowledge variable by affecting the SE had an impact on the QoL (B = 0.0045). Conclusion SS had the greatest impact on the QoL. Obviously, providing all the requirements to support patients can help them overcome problems and improve their QoL. Distress negatively affects the QoL through SM and it should be noticed in interventional studies. |
| first_indexed | 2024-12-11T13:31:04Z |
| format | Article |
| id | doaj.art-23c90bc8dbe2426492dfb6f1b3c8411b |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-11T13:31:04Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-23c90bc8dbe2426492dfb6f1b3c8411b2022-12-22T01:05:15ZengBMCHealth and Quality of Life Outcomes1477-75252020-02-011811910.1186/s12955-020-01293-4Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis modelSoheila Ansarzadeh0Leili Salehi1Zohreh Mahmoodi2Abolfazl Mohammadbeigi3Department of Health Education, School of Public Health, Alborz University of Medical SciencesDepartment of Health Education and Promotion & Research center for Health, Safety and Environment, Alborz University of Medical SciencesSocial Determinants of Health Research Center & School of Nursing and Midwifery, Alborz University of Medical SciencesDepartment of Epidemiology & Research Center for Environmental Pollutant, Qom University of Medical SciencesAbstract Background Quality of life (QoL) is the most important indicator for assessing the status of health care in chronic diseases. The present study aimed to determine the pathway determinants model of QoL in patients with gestational diabetes mellitus (GDM). Methods This cross-sectional study was conducted on 329 women with GM referred to health care centers in Qom, Iran during 2018. Convenience sampling methods was used. Inclusion criteria were: afflicted by GM and received pregnancy care services from health center. Several questionnaires (Knowledge, attitude, self-efficacy (SE), social support (SS), pregnancy distress, self-management(SM) and QoL) were used for data collection. Data were analyzed with SPSS-21 and Lisrel-8.8 software using statistical path analysis. Results The mean age of participants was 30.93 ± 5.42 years. The final path model fitted well (CFI =1, RMSEA = 0.0003) and showed that, only age variable from both direct and indirect path had an impact on QoL (B = 0.51). Among variables that directly affected the QoL, SS had the highest effect (B = 1.02) and SE (B = 0.01) had the lowest effect. In the indirect path, only the knowledge variable by affecting the SE had an impact on the QoL (B = 0.0045). Conclusion SS had the greatest impact on the QoL. Obviously, providing all the requirements to support patients can help them overcome problems and improve their QoL. Distress negatively affects the QoL through SM and it should be noticed in interventional studies.http://link.springer.com/article/10.1186/s12955-020-01293-4Gestational diabetesQuality of lifePath analysisIran |
| spellingShingle | Soheila Ansarzadeh Leili Salehi Zohreh Mahmoodi Abolfazl Mohammadbeigi Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model Health and Quality of Life Outcomes Gestational diabetes Quality of life Path analysis Iran |
| title | Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model |
| title_full | Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model |
| title_fullStr | Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model |
| title_full_unstemmed | Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model |
| title_short | Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model |
| title_sort | factors affecting the quality of life in women with gestational diabetes mellitus a path analysis model |
| topic | Gestational diabetes Quality of life Path analysis Iran |
| url | http://link.springer.com/article/10.1186/s12955-020-01293-4 |
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