title: Predictors of quality of life among hospitalized geriatric patients with diabetes mellitus upon discharge.
abstract: OBJECTIVE
  Diabetes mellitus is prevalent among older adults, and affects their quality of life. Furthermore, the number is growing as the elderly population increases. Thus, this study aims to explore the predictors of quality of life among hospitalized geriatric patients with diabetes mellitus upon discharge in Malaysia.
  
  
  METHODS
  A total of 110 hospitalized geriatric patients aged 60 years and older were selected using convenience sampling method in a cross-sectional study. Sociodemographic data and medical history were obtained from the medical records. Questionnaires were used during the in-person semistructured interviews, which were conducted in the wards. Linear regression analyses were used to determine the predictors of each domain of quality of life.
  
  
  RESULTS
  Multiple regression analysis showed that activities of daily living, depression, and appetite were the determinants of physical health domain of quality of life (R2=0.633,F(3, 67)=38.462;P<0.001), whereas depression and instrumental activities of daily living contributed to 55.8% of the variability in psychological domain (R2=0.558,F(2, 68)=42.953;P<0.001). Social support and cognitive status were the determinants of social relationship (R2=0.539,F(2, 68)=39.763;P<0.001) and also for the environmental domain of the quality of life (R2=0.496,F(2, 68)=33.403;P<0.001).
  
  
  CONCLUSIONS
  The findings indicated different predictors for each domain in the quality of life among hospitalized geriatric patients with diabetes mellitus. Nutritional, functional, and psychological aspects should be incorporated into rehabilitation support programs prior to discharge in order to improve patients' quality of life.
authors: Dietetics Programme.
authors: Nuruljannah
authors: N
authors: Johari
authors: Dietetics Programme.
authors: Zahara Abdul
authors: ZA
authors: Manaf
authors: Health Psychology Programme, Faculty of Health Sciences.
authors: Norhayati
authors: N
authors: Ibrahim
authors: Dietetics Programme.
authors: Suzana
authors: S
authors: Shahar
authors: Medical Department, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
authors: Norlaila
authors: N
authors: Mustafa
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003071:Cognition; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D006760:Hospitalization; D006801:Humans; D016014:Linear Models; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D012944:Social Support; D011795:Surveys and Questionnaires
keywords: diabetes mellitus; geriatric; hospitalized; quality of life; rehabilitation