Association Between Dissatisfaction With Care and Diabetes Self-Care Behaviors, Glycemic Management, and Quality of Life of Adults With Type 2 Diabetes Mellitus

Abstract

Purpose The purpose of the study was to examine the associations between patient dissatisfaction and diabetes outcomes among patients with type 2 diabetes. Methods Primary data from 615 adults with type 2 diabetes from 2 adult primary care clinics completed validated questionnaires. Patient dissatisfaction was measured by asking participants to what degree over the past 12 months were they very dissatisfied with the care they received from their primary care provider. Diabetes outcomes included self-care behaviors, quality of life, and A1C. A1C was abstracted from the medical record. Multiple linear regression models were used to assess associations between patient dissatisfaction, self-care, blood glucose, and quality of life. Results After adjusting for covariates, this study demonstrated that higher patient dissatisfaction was significantly associated with poor general diet, worse blood glucose levels, and lower mental component score for quality of life. Conclusions In patients with type 2 diabetes, patient dissatisfaction had a significant association with higher blood glucose levels, poor general diet, and low quality of life. Demographic factors driving patient dissatisfaction included young age, low income, and low health literacy. Future studies should investigate how to address patient satisfaction in an effort to improve health outcomes.

Community-Based Supportive Educative Improves Self-Care Management of Type II Diabetes Mellitus in the Era of the COVID-19 Pandemic

“…Self-care management can help people with diabetes manage their blood glucose levels because the components of selfcare management are physical activity or exercise, controlling blood glucose levels, eating the proper diet, and checking feet. If this is done in daily life, it is undoubtedly very helpful in managing blood glucose, preventing complications, and indirectly improving the quality of life (Dalal et al, 2020).…”

Diabetes severity measured by treatment control status and number of anti-diabetic drugs affects presenteeism among workers with type 2 diabetes

“…Diabetes treatment often causes diabetes-associated stress, including stress due to poor glycemic control, and concerns about the need to continue treatment, future complications and costs [ 43 ]. In particular, the psychological burden of the poor control group may be large [ 44 , 45 ]. Diabetes is often associated with mental health challenges such as depression and anxiety [ 46 , 47 ].…”

Diabetes Severity Measured by Treatment Control Status and Number of Anti-diabetic Drugs Affects Presenteeism Among Workers With Type 2 Diabetes

“…41 In particular, the psychological burden of the poor control group may be large. 42,43 Diabetes is often associated with mental health challenges such as depression and anxiety. 44,45 Presenteeism loss is likely to occur due to the diabetes-associated stress and the complications of the mental di culties, 28,29,30 which may be due to the severity of diabetes treatment causing presenteeism through psychiatric symptoms.…”