Diabetes, Metabolic Syndrome and Obesity (Nov 2020)
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
Abstract
Mitaw Girma,1 Shambel Wodajo,2 Sewunet Ademe,3 Afework Edmealem,3 Mulugeta W/silasie,4 Gebremeskel Mesafint5 1Department of Adult Health Nursing, Wollo University, Dessie, Amhara, Ethiopia; 2Department of Public Health, Wollo University, Dessie, Amhara, Ethiopia; 3Department of Nursing, Wollo University, Dessie, Amhara, Ethiopia; 4Department of Pediatric Nursing, Wollo University, Dessie, Amhara, Ethiopia; 5Department of Nursing, Mizan Tepi University, Mizan Tepi, South Ethiopia, EthiopiaCorrespondence: Sewunet AdemeDepartment of Nursing, Wollo University, Dessie, Amhara, EthiopiaTel +251 918126233Email [email protected]: 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.Keywords: HRQOL, type II diabetes
