Aging: the Effects of Diabetes Mellitus on the Quality of Life of Institutionalized Older Adults In Imperatriz, Maranhão, Brazil

Objective: To analyze the perceived quality of life of institutionalized older adults with Diabetes Mellitus in the municipality of Imperatriz, Maranhão, Brazil. Theoretical framework: Quality of life in older age is multidimensional, encompassing physical and psychological conditions, social relationships, the environment, autonomy, and individual experiences. In long-term care settings, understanding these dimensions requires considering clinical conditions as well as residents’ relationships and preferences. Method: This was a descriptive, qualitative field study involving five men aged 65–81 years with Diabetes Mellitus who lived in two long-term care facilities in Imperatriz. A sociodemographic questionnaire and semi-structured interviews based on the WHOQOL-BREF and WHOQOL-OLD instruments were used. Accounts were coded and analyzed descriptively, guided by Bardin’s content analysis, without calculating standardized instrument scores. Results and discussion: Three participants reported little or no perceived interference of the disease in their daily activities, whereas two described specific difficulties, including visual changes, pain, and physical limitations. Differences also emerged regarding mood, sleep, autonomy, social support, participation in activities, spirituality, and intimacy. Research implications: The findings reinforce the need for individualized care that considers clinical needs, preferences, autonomy, and emotional bonds. Originality/value: This study presents accounts from institutionalized older adults in a specific municipal context, contributing to an understanding of quality of life through residents’ own experiences.