BACKGROUND: Identifying the factors that affect the quality of life is crucial in managing type 2 diabetes. This study, therefore, examined the roles of health literacy, resilience, and treatment adherence in predicting the quality of life of patients with type 2 diabetes. MATERIALS AND METHODS: This cross-sectional study examined 400 patients with type 2 diabetes who were referred to university hospitals in Ahvaz, utilizing a convenience sampling method. Data were collected using the Health Literacy Instrument for Adults (HELIA), the Adherence to Treatment Questionnaire (ATQ), the Connor-Davidson Resilience Scale (CD-RS), and the Diabetes Quality of Life (DQOL) Instrument. The data were subsequently analyzed using descriptive and inferential statistics in SPSS software. RESULTS: The mean (SD) scores for HELIA, CD-RS, ATQ, and DQOL were 18.26 (12.79), 20.62 (4.48), 20.64 (4.48), and 41.89 (4.46), respectively. The regression model indicated that willingness to participate in treatment ( β = 0.217, P < 0.001), resilience ( β = 0.214, P < 0.001), access ( β = 0.140, P < 0.01), and decision-making and application of health information (β = 0.112, P < 0.05) were significant predictors of quality of life in patients with type 2 diabetes. This model accounted for 18.2% of the variance in quality of life ( F = 23.158, P < 0.05). CONCLUSION: Since health literacy, resilience, and treatment adherence can significantly impact the quality of life for patients with type 2 diabetes, focusing on these factors in educational and health promotion programs can greatly enhance their overall well-being.
Aslani et al. (Sun,) studied this question.