Assessment of quality of life and associated factors in children and adolescents with diabetes mellitus at governmental hospital, Addis Ababa Ethiopia, 2018.
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Date
2018-06
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Addis Ababa University
Abstract
Background: Quality of life (QoL) is a multidimensional construct incorporating an individual's subjective perception of physical function, emotional function, and social well-being. Looking for QoL after a diagnosis of diabetes used to detect problems which may be faced by children and adolescents and to manage these problems.
Objective: This study aimed to assess quality of life and associated factors in children and adolescents with diabetes.
Method A prospective cross sectional study was done from March 1 to April 30/2018 at Tikur Anbesa, Yekakit 12 and zewuditu hospitals. Systematic sampling method was used to select 234 study participants. The interview data collection technique was used. A 23-item multidimensional PedsQL™ 4.0 Generic Core Scales instrument was used to measure general health related quality of life (HRQoL) and a 28-item multidimensional PedsQL™ 3.0 Diabetes Module instrument was used to assess diabetes related quality of life (DRQoL) of children and adolescents. Multivariable linear regression was done and a significant association was declared at p<0.05.
Result: The mean score for HRQoL of children and adolescents were 78.8±15.6 reported by children and adolescents and 61±7.9 reported by parents. The mean score for DRQoL children and adolescents were 78.3±14.6 reported by children and adolescents and was 60.5±7.9 reported by parent. About 35.5% mean score of school function and 35.8% mean score of emotional function of children and adolescents fell more than one standard deviation (>1 SD) below the mean of HRQoL of children and adolescents of self-reports. About 37.6% mean score of treatment barriers, 34.9% mean score of communication and 34.5% mean score of worry of children and adolescents fell more than one standard deviation (>1 SD) below the mean of DRQoL of children and adolescents of the self-reports.
Conclusion and Recommendation: This study found that there was lower score in school and emotional function of HRQoL and lower score in treatment barriers, worry and communication sub scale score of DRQoL. Glycemic level, health education of diabetes, frequency of hospital admission was clinically significant factors of HRQoL and DRQoL are scoring. This study recommended for the sustainable health education program on diabetes for children and adolescents with diabetes.
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Keywords
Quality of Life, Children, Adolescents, Diabetic Mellitus, Associated Factors