Assessment of quality of life in type II diabetic patients using the modified diabetes quality of life (MDQoL)-17 questionnaire

Abstract

Diabetic complications, comorbidities, and cost of treatment affect the quality of life (QoL) of an individual. The QoL assessment is considered an important measure of outcome in chronic disease management. The objective of our study was to assess the quality of life in Type II diabetes mellitus patients with and without complications using the modified diabetes quality of life (MDQoL)-17. A prospective descriptive study was conducted over 6 months, after taking ethical committee approval. As per the inclusion criteria from medicine wards of tertiary care hospital, 250 patients were selected. Demographic characteristics were documented in the data collection form and the patients were administered with the MDQoL questionnaire in different languages. The data was analyzed using IBM SPSS version 20. Majority of the patients were male (64.4%). The average age of the study population was 60.34±12.04 years. Most of the patients had a diabetes history of more than 10 years and HbA1c > 8%. The average QoL score was 65.47±15.07. Majority of the diabetic patients had the QoL score between 70 and 50. Patients without complication had a better QoL. As the number of complications increased, there was a decrease in the QoL. The presence of comorbidity also decreased the QoL. There was a statistically significant correlation with various parameters such as age, duration of diabetes history, HbA1c, number of complications and type of complication verses QoL of diabetic patients (p<0.05). The overall QoL in diabetic patients is reduced. Thus, proper management and strict glycemic control is necessary to prevent progression and occurrence of complications to maintain a better QoL in diabetes patients.

The quality of life of the patients with diabetes type 2 using EQ-5D-5 L in Birjand

“…This evaluation, as a powerful tool, is critical in predicting patients' status for disease management and long-term health care. Regular evaluation for QoL as a routine clinical practice could potentially improve necessary communication among the health care providers and their patients, thereby identify the complications and help them for long care resulting in improving their health status [19].…”

Health-related quality of life in Iranian patients with type 2 diabetes: An updated meta-analysis

“…While many patients cannot effectively control their illness, it is believed that diabetes has a huge impact on patients' health condition (6). Diabetes can lead to a reduction in patients' health-related quality of life (7).…”

Quality of Life in Diabetic Patients in the Primary Care Unit

“…From the above, diabetic patients have a worse quality of life (QOL) than healthy people. [3][4][5][6] The Thai clinical practice guidelines for DM in 2017 recommend healthcare providers evaluate both the QOL and psychological health issues of diabetic patients. 7 QOL is defined as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.…”

“…Previous studies show that most type 2 diabetic patients had moderate levels of QOL, while 31.5-41.2% of patients had good levels of QOL. [3][4][5] Questionnaires for the evaluation of QOL can be divided into 2 groups: health-related QOL that assess only the effects from diseases, and holistic QOL that assess all factors of a patient's life. 9 There are many factors that are statistically significantly associated with QOL in type 2 diabetic patients, such as sex, age, body mass index, duration of disease and having diabetic complications.…”

“…9 There are many factors that are statistically significantly associated with QOL in type 2 diabetic patients, such as sex, age, body mass index, duration of disease and having diabetic complications. [3][4][5]10,11 Some evidence shows that psychosocial issues are critical to good diabetes care and QOL of diabetic patients indicates the quality of health-care intervention. 6 Although many studies have reported the prevalence and factors related with QOL, no study has been conducted in the Primary Care Unit (PCU) of Songklanagarind Hospital.…”