<p>Health-Related Quality of Life and Associated Factors Among Type Two Diabetic Patients on Follow-Up in Dessie Comprehensive Specialized Hospital, Dessie, North East Ethiopia, 2020</p>

Abstract

Background: Diabetes mellitus is a disorder of carbohydrate metabolism and it is highly related with diminished HRQOL in Ethiopia; diabetic related complications especially bring major negative impacts on HRQOL. Objective: To assess HRQOL and associated factors among type two diabetic patients in Dessie Comprehensive Specialized Hospital, north east Ethiopia, 2020. Methods: Institutional-based cross-sectional study design was conducted on 417 patients through systematic random sampling technique from February 08 to April 08, 2020. WHO HRQOL 26 items were used to measure outcome variable. Face-to-face interview, document review and measurement were implemented to collect data. The data were analyzed by IBM SPSS Statistics version 25 and summarized by using tables. Simple linear regression analysis was done and forwarded to multivariable linear regression analysis at p-value <0.25. Next multivariable linear regression analysis was done and variables whose p-value less than 0.05 with unstandardized B-coefficient were declared significant predictor variables. Results: The mean scores of physical domain, psychological domain, environmental domain and social domain were 48±6.7 (47-49), 52±4.2 (50-52.3), 48.9±3.4 (48-50.4) and 49±4 (48-50), respectively. As age increased by one year, patients' physical HRQOL decreased by 0.031 factor, keeping effect of other variables constant [−0.031, 95% CI (−0.050 to-0.013)]. As duration of diabetes increased by one year, patients' physical HRQOL increased by 0.034 factor, keeping effect of other variables constant [0.034, 95% CI (0.004 to 0.065)]. In general, age, depression, perceived social stigma, self-employed, having two complications, widowed, insulin and oral anti-diabetic medication affected HRQOL negatively and duration of diabetes in physical domain and university level of education in environmental domain affected HRQOL positively. Conclusion and Recommendation: The mean score of health-related quality of life in physical health domain, psychological health domain, social health domain and environmental health domain was recorded nearly half score point out of a hundred. Health professionals should follow a holistic approach to management to address negatively associated predictor variables with HRQOL.

Health-related quality of life of patients with type 2 diabetes mellitus at a tertiary care hospital in Ethiopia

“…Additionally, the findings illustrate that diabetes-related complications, old age, obesity, duration of diabetes, insulin and oral anti-diabetic medication use were the major predictors that require comprehensive intervention strategies to enhance the HRQoL of patients with diabetes. Furthermore, the findings showed that HRQoL remains the most disregarded component in routine clinical practice in Ethiopia [19,[30][31][32]. Hence, this study aimed to evaluate the HRQoL and associated factors among patients with T2DM at a tertiary teaching hospital in Ethiopia.…”

Factors Associated with Quality of Life in Patients with Type 2 Diabetes of South Benin: A Cross-Sectional Study

“…For this reason, improved QoL is regarded as a key goal of all healthcare interventions, including those for T2D management [ 12 ]. Furthermore, numerous studies have evaluated the QoL of people living with diabetes across numerous regions, including the United States [ 13 ], Europe [ 14 ], Asia [ 15 , 16 , 17 ], and Africa [ 18 , 19 ]. They have identified several associated factors, such as sex, age, financial status, educational attainment, occupations, body mass index (BMI), concomitant risk factors (dyslipidemia and hypertension), treatment therapy, and lifestyle [ 13 , 14 , 15 , 16 , 17 , 18 , 19 ].…”

“…Furthermore, numerous studies have evaluated the QoL of people living with diabetes across numerous regions, including the United States [ 13 ], Europe [ 14 ], Asia [ 15 , 16 , 17 ], and Africa [ 18 , 19 ]. They have identified several associated factors, such as sex, age, financial status, educational attainment, occupations, body mass index (BMI), concomitant risk factors (dyslipidemia and hypertension), treatment therapy, and lifestyle [ 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. Self-care behaviors (SCBs) are another factor that affects patient QoL [ 20 , 21 ], and Jeihooni et al suggested that a better QoL could be achieved by providing health education tailored to the needs of SCBs in patients with diabetes [ 22 ].…”

Experience of stigma among persons with type 2 diabetes in Africa: a systematic review

“…While the majority of studies supported their claims with direct quotes from participants, it is important to note that the study conducted by de-Graft Aikins 33 did not provide such direct quotes after individual claims. The quantitative studies, on the other hand, were only lacking in either the use of non-validated measuring instruments for outcome assessment 27 or inadequate reporting of non-response bias. Details of the quality assessment are provided in Appendix 2.…”

“…The prevalence of T2DM stigma ranged from 49.6% in Ghana 26 to 70% in Ethiopia. 27 Notably, younger adults tended to experience higher levels of diabetes stigma compared with older adults. 26 The presence of diabetes stigma was found to be associated with a lower quality of life among individuals with diabetes.…”