{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:56:08Z","timestamp":1787579768638,"version":"build-2736575974"},"reference-count":31,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:00:00Z","timestamp":1748995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Type 2 diabetes (T2D) is a chronic disease that significantly impacts individuals\u2019 quality of life, affecting their physical, psychological, social, and environmental well-being. Objectives: This study investigates how self-care habits influence quality of life and key health indicators, such as glycated hemoglobin (HbA1c), blood sugar levels, and body mass index (BMI), among newly diagnosed diabetic individuals in Vlore, Albania. Methods: In this cross-sectional study, 332 individuals recently diagnosed with diabetes were surveyed between April and July 2024. Data were collected using the World Health Organization Quality of Life Assessment (WHOQOL-BREF) and the Summary Diabetes Self-Care Activity (SDSCA) surveys. Sociodemographic and clinical information, including age, education, occupation, duration of diabetes, HbA1c, and BMI, were collected through structured interviews and medical records. Descriptive and multivariate analyses were conducted to examine the relationships between self-care behaviors, sociodemographic factors, and quality of life. Results: The findings reveal a low quality of life, with a mean quality of life (QoL) score of 35.33 \u00b1 8.25. Environmental domains were most affected, registering a low QoL score of 30.93 \u00b1 9.04. Significant relationships between QoL, self-care practices, and sociodemographic factors and pathologic factors were found. The analysis indicated that distinct factors influenced various domains of quality of life. Physical health was associated with residence, comorbidities, BMI, and HbA1c, follow-up visits, dietary self-care and physical activity self-care. Psychological health correlated with residence, educational level, BMI, and HbA1c, follow-up visits, dietary, physical activity and foot self-care. Age, occupation, BMI, and physical activity self-care were linked to social relationships. Finally, environmental well-being was influenced by gender, residence, BMI, HbA1c, follow-up visits, and dietary and physical activity self-care. Conclusions: This study emphasizes the impact of sociodemographic and clinical factors on the quality of life of patients with T2D. Older age, lower education levels, comorbidities, increase in BMI and HbA1c levels, and inadequate self-care were associated with reduced quality of life. These findings highlight the need for targeted interventions and policies that promote self-care and support for at-risk groups.<\/jats:p>","DOI":"10.3390\/nursrep15060201","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T06:00:49Z","timestamp":1749016849000},"page":"201","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Self-Care Behaviors, Health Indicators, and Quality of Life: A Comprehensive Study in Newly Diagnosed Type 2 Diabetes Patients"],"prefix":"10.3390","volume":"15","author":[{"given":"Emirjona","family":"Ki\u00e7aj","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Transylvania University, 500036 Brasov, Romania"},{"name":"Faculty of Health, University \u201cIsmail Qemali\u201d Vlore, 9401 Vlore, Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6291-0769","authenticated-orcid":false,"given":"Aurela","family":"Saliaj","sequence":"additional","affiliation":[{"name":"Faculty of Health, University \u201cIsmail Qemali\u201d Vlore, 9401 Vlore, Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rudina","family":"\u00c7er\u00e7izaj","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Transylvania University, 500036 Brasov, Romania"},{"name":"Faculty of Health, University \u201cIsmail Qemali\u201d Vlore, 9401 Vlore, Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasilika","family":"Prifti","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Transylvania University, 500036 Brasov, Romania"},{"name":"Faculty of Health, University \u201cIsmail Qemali\u201d Vlore, 9401 Vlore, Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonila","family":"Qirko","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Transylvania University, 500036 Brasov, Romania"},{"name":"Faculty of Health, University \u201cIsmail Qemali\u201d Vlore, 9401 Vlore, Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9551-9910","authenticated-orcid":false,"given":"Liliana","family":"Rogozea","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Transylvania University, 500036 Brasov, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e2004","DOI":"10.1002\/hsr2.2004","article-title":"Diabetes mellitus, the fastest growing global public health concern: Early detection should be focused","volume":"7","author":"Hossain","year":"2024","journal-title":"Health Sci. Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"111855","DOI":"10.1016\/j.diabres.2024.111855","article-title":"Early life socioeconomic inequalities and type 2 diabetes incidence: Longitudinal analyses in the Maastricht study","volume":"217","author":"Meisters","year":"2024","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1111\/imj.16455","article-title":"Preventing diabetes complications","volume":"54","author":"Templer","year":"2024","journal-title":"Intern. Med. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1016\/S0140-6736(23)00001-6","article-title":"Improving health outcomes of people with diabetes: Target setting for the WHO Global Diabetes Compact","volume":"401","author":"Gregg","year":"2023","journal-title":"Lancet"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"American Diabetes Association (2021). Improving care and promoting health in populations: Standards of medical care in diabetes\u20142021. Diabetes Care., 44, S7\u2013S14.","DOI":"10.2337\/dc21-S001"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2689","DOI":"10.2337\/dc22-0784","article-title":"Long-term Outcomes Among Young Adults with Type 2 Diabetes Based on Durability of Glycemic Control: Results from the TODAY Cohort Study","volume":"45","author":"Higgins","year":"2022","journal-title":"Diabetes Care"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2131","DOI":"10.1007\/s00125-021-05539-8","article-title":"The legacy effect in diabetes: Are there long-term benefits?","volume":"64","author":"Folz","year":"2021","journal-title":"Diabetologia"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"120","DOI":"10.4239\/wjd.v8.i4.120","article-title":"Type 2 diabetes and quality of life","volume":"8","author":"Trikkalinou","year":"2017","journal-title":"World J. Diabetes"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"696","DOI":"10.4103\/ijem.IJEM_579_17","article-title":"Emotional and Psychological Needs of People with Diabetes","volume":"22","author":"Kalra","year":"2018","journal-title":"Indian J. Endocrinol. Metab."},{"key":"ref_10","unstructured":"Health Informatics, Wac, K., and Wulfovich, S. (2022). Unfolding the quantification of quality of life. Quantifying Quality of Life, Springer."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"108480","DOI":"10.1016\/j.diabres.2020.108480","article-title":"Diabetes self-management education and support for adults with newly diagnosed type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials","volume":"169","author":"Tanaka","year":"2020","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Cunningham, A.T., Crittendon, D.R., White, N., Mills, G.D., Diaz, V., and LaNoue, M.D. (2018). The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: A systematic review and meta-analysis. BMC Health Serv. Res., 18.","DOI":"10.1186\/s12913-018-3186-7"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2753","DOI":"10.2337\/dci22-0034","article-title":"Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)","volume":"45","author":"Davies","year":"2022","journal-title":"Diabetes Care"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/2251-6581-12-14","article-title":"Role of self-care in management of diabetes mellitus","volume":"12","author":"Shrivastava","year":"2013","journal-title":"J. Diabetes Metab. Disord."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"The WHOQOL Group (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol. Med., 28, 551\u2013558.","DOI":"10.1017\/S0033291798006667"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"943","DOI":"10.2337\/diacare.23.7.943","article-title":"The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale","volume":"23","author":"Toobert","year":"2000","journal-title":"Diabetes Care"},{"key":"ref_17","unstructured":"Jaho, J., and Kamberi, F. (2021). Level of Self-Care Among Patients Suffering from Type 2 Diabetes-Implications for Primary Healthcare, Health for All Project. 2021 Master of Science in General Medicine, with the Support of \u201cHealth for All\u201d a Project of the Swiss Agency for Development and Cooperation SDC, Implemented by the Swiss Tropical and Public Health Institute (STPH)."},{"key":"ref_18","unstructured":"World Health Organization (1996). WHOQOL-BREF: Introduction, Administration, Scoring and Generic Version of the Assessment: Field Trial Version, World Health Organization. Available online: https:\/\/iris.who.int\/bitstream\/handle\/10665\/63529\/WHOQOL-BREF.pdf."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Abdallah, S.M.A., Ayoub, A.I., Makhlouf, M.M.E., and Ashour, A. (2024). Diabetes knowledge, health literacy and diabetes self-care among older adults living with diabetes in Alexandria, Egypt. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-20238-w"},{"key":"ref_20","first-page":"31","article-title":"Self-care practice and associated factors among older adults of type 2 diabetic patients attending public hospitals of Buno-Bedele Zone: A mixed-method study","volume":"5","author":"Gonfa","year":"2024","journal-title":"J. Community Med. Public Health Rep."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"336","DOI":"10.4093\/dmj.2012.36.5.336","article-title":"Management of type 2 diabetes mellitus in older adults","volume":"36","author":"Kim","year":"2012","journal-title":"Diabetes Metab. J."},{"key":"ref_22","unstructured":"Kamberi, F., Themeli, Y., Islamaj, V., Ndreu, V., and Jaho, F. (2021). Type 2 Diabetes Self-Management Levels Among Patients: Insights from a Web-Based Survey in Albania, Buletini Shkencor, Universiteti \u201cIsmail Qemali\u201d Vlor\u00eb."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"3374","DOI":"10.1111\/jan.14190","article-title":"A systematic review of adherence to diabetes self-care behaviors: Evidence from low- and middle-income countries","volume":"75","author":"Mogre","year":"2019","journal-title":"J. Adv. Nurs."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18332\/tpc\/181366","article-title":"Exploring the smoking cessation needs of individuals with diabetes using the Information-Motivation-Behavior Skills model","volume":"10","author":"Grech","year":"2024","journal-title":"Tobacco Prev. Cessation."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"101370","DOI":"10.1016\/j.diabet.2022.101370","article-title":"Smoking and diabetes interplay: A comprehensive review and joint statement","volume":"48","author":"Durlach","year":"2022","journal-title":"Diabetes Metab."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/jmh.JMH_32_18","article-title":"Evaluation of quality of life in type 2 diabetes mellitus patients using Quality of Life instrument for Indian diabetic patients: A cross-sectional study","volume":"10","author":"John","year":"2019","journal-title":"J. Mid-life Health"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1080\/02813430510015296","article-title":"Quality of life of patients with diabetes mellitus: An overview of research in primary health care in the Nordic countries","volume":"23","year":"2005","journal-title":"Scand. J. Prim. Health Care"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.diabres.2007.07.003","article-title":"Assessment of health-related quality of life (HRQoL) of patients with type 2 diabetes in Turkey","volume":"79","author":"Akinci","year":"2008","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"505","DOI":"10.26444\/aaem\/168415","article-title":"The evaluation of the quality of life of older people with diabetes","volume":"30","author":"Chmielewski","year":"2023","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"A32","DOI":"10.18332\/tpc\/194352","article-title":"Improving self-care routines of people with diabetes, including tobacco cessation, through collaborative effort and practice suggestions","volume":"10","author":"Kamberi","year":"2024","journal-title":"Tob. Prev. Cessat."},{"key":"ref_31","first-page":"EP473","article-title":"Education for diabetes self-management improves quality of life and reduces HbA1c levels in people with diabetes","volume":"37","author":"Toti","year":"2015","journal-title":"Endocr. 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