Quality of Life assessment among Type 2 Diabetic patients in rural tertiary centre

Abstract

Background: Quality of life assessment is considered as important measure of outcome in chronic disease management. With increase in prevalence of Diabetes in India it becomes important to assess the quality of life for better care and control. Aims & Objective: Hence this study was conducted with the objectives to assess the Quality of life (QoL) among diabetic patients with respect to anthropometry and blood investigations and assess the influence of risk factors on Quality of Life among Diabetic patients. Materials and Methods: Cross-sectional study was conducted for a period of 2 months among 180 type 2 diabetes mellitus patients attending rural tertiary care centre. A pretested and structured questionnaire was used to obtain the information on socio-demographic profile, diabetic history. Quality of life was assessed by WHOQOL-BREF. Statistical analysis was carried out by using EPI Info 7 software. Correlations, Students t test and logistic regression analysis are the statistical tests. Results: The mean age of males was 59.56 ± 9.64 and females was 60.90 ± 7.51. Mean scores of Quality of life with respect to physical, psychological, social and environmental domains were significantly higher among females compared to males (p<0.01). Quality of life domains and other continuous variables showed that there is significant positive correlation between age and physical, psychological, social and environmental domains (r = 0.864, 0.396, 0.549, 0.420 respectively and p<0.001). Logistic regression showed that increase in age and HbA1c acts as independent factors to assess the Quality of life. Conclusion: Quality of life among diabetics needs improvement with proper treatment regimens ensuring good glycemic control.

Assessment of quality of life in type 2 diabetes mellitus patients using World Health Organization quality of life-BREF questionnaire and appraisal of diabetes scale - a cross-sectional study

“…Age, duration of diabetes, associated comorbidities, treatment, and HbA1c level of patients significantly affected the QOL as patients aged ≥60 with 6-10 years of diabetes, multiple comorbidities, oral hypoglycemic medication, and uncontrolled diabetes (HbA1c level ≥7 mmol/mol) had very poor and poor QOL. This is consistent with Somappa et al's study in which 19 patients with HbA1c level ≥7 mmol/mol (uncontrolled diabetes) showed poor QOL. 19 These findings demonstrate that HbA1c levels are essential predictors of QOL among people with diabetes, and it is crucial to maintain these levels to control T2DM for improved QOL.…”

“…This is consistent with Somappa et al's study in which 19 patients with HbA1c level ≥7 mmol/mol (uncontrolled diabetes) showed poor QOL. 19 These findings demonstrate that HbA1c levels are essential predictors of QOL among people with diabetes, and it is crucial to maintain these levels to control T2DM for improved QOL.…”

Quality of life among diabetics: A cross-sectional study in a tertiary care center of Rohtak, Haryana

“…There was no major gender difference among diabetics attending the tertiary care hospital. [ 11 12 ]…”

Effectiveness of Nurse Led-home Based Diabetic Management Program on Glycemic Control and Quality of life of People Living with Diabetes: A Systematic Review

“…QOL evaluation has emerged as an important outcome measure for chronic disease management. [8] This review emphasizes the most essential feature of measuring QOL, which is to capture the individual's subjective evaluation of their QOL and not what others imagine it to be. Efforts to achieve excellent health may damage QOL.…”