Health-related quality of life and its associated factors among adult patients with type II diabetes attending Mizan Tepi University Teaching Hospital, Southwest Ethiopia

Abstract

BackgroundHealth-related quality of life (HRQOL) has become an important measure for evaluating patient treatment with non-curable chronic disease. The aim of the study was to assess HRQOL and its associated factors among patients with type II diabetes.MethodsThis is an institution-based, cross-sectional study conducted from March 13 to May 9, 2018. A total of 267 patients with type II diabetes who visited the clinic for follow-up for at least 3 months and who were 18 years or older were included in the study. The WHO Quality of Life-BREF was used to assess quality of life. Multivariable linear regression was employed to identify associated factors with HRQOL among patients with type II diabetes.ResultsThe mean score for overall HRQOL was 51.50±15.78. The mean scores for physical health, psychological, environmental and social relationship domains were 49.10±18.14, 53.51±19.82, 49.72±16.09 and 53.68±17.50, respectively. Age, disease duration and fasting blood glucose level were inversely associated with all domains of HRQOL (p<0.001). Body mass index was inversely related with all domains of HRQOL except with the physical health domain.ConclusionThe findings from this study indicated that all dimensions of HRQOL of patients with diabetes in this study setting were compromised. The study also identified important predictors such as age, duration of disease and level of fasting blood sugar. This entails the need to intervene in improving the HRQOL of patients with diabetes beyond the provision of standard treatments.

Heath related quality of life and associated factors among adults with and without diabetes in Adama city East Shewa, Ethiopia 2019; using generalized structural equation modeling

“…Our finding demonstrated that, among domains of HRQoL, the physical health was the most affected domain in diabetic group and this is of course in agreement with other reports [14,16,31]. This consistency could be defensible by diabetes has more physical than mental (psychological) manifestations [32].…”

“…The current study shows that an older age was associated with poor environmental health in diabetic group. This finding is lined with previous studies conducted in different research setting [9,12,16,33,34]. Such outcome may indicate that younger people are more likely to adore better health than elder and this may not surprising because as age increase the physiological function decline and prevent different activity of the body which might impair HRQOL .…”

“…According to this study, fasting blood sugar had an inverse association with all domains of health related quality of life except social relation. This finding is in line with the study that was conducted by Gebremedhin T et al [16]. This consistence could be due to high blood glucose manifesting as like polyuria (excessive urination), polydipsia (excessive thirsty), polyphagia (excessive hunger), general weakness and sleeping disturbances [41], which may impair HRQoL.…”

“…Some studies have been conducted on HRQoL and its associated factors among diabetic patients worldwide [5,[9][10][11][12][13] and in our Country Ethiopia [14][15][16]. However, those studies have demonstrated the relationships through univariate analysis.…”

Factors Associated with Quality of Life and Glycemic Control in Diabetes Mellitus Type 2 Patients in Sangkha Hospital, Surin Province, Thailand

“…This finding contradict with several previous studies. [16][17][18] The previous studies found relationships between several factors such as comorbidities and low incomes and low utility score. 16 After factors were controlled using multiple logistic regression only two factors were seen to be associated with HbA 1C control; an education level higher than secondary school and treatment with insulin therapy.…”