Assessment of Health-Related quality of life and associated factors among type II Diabetic patients in ayder Comprehensive Specialized hospital, Tigray, Ethiopia.
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Date
2019-10
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Addis Abeba University
Abstract
Background: The overall prevalence of diabetic mellitus has increased from 171 million in 2000
to 366 million in 2030. Health-related quality of life of patients is essential in health economic
evaluations. Type II diabetes shows a significantly greater decline in quality of life but data on
Ethiopian population is rare.
Objective: This study aims to estimate health related quality of life, and associated factors
among type II diabetic patients in Ayder comprehensive specialized hospital Tigray, Ethiopia.
Methods: A hospital-based cross-sectional study was carried out on 415 type II diabetic patients.
Health outcomes were calculated in micro soft-excel and all the possible health states were
valued by a general reference population of Zimbabwe tariff. The EQ-5D-3L instrument was
used to evaluate patients’ self-reported health status. An ordinary logistic regression analysis was
used to show a significant association of factors with a health related quality of life.
Result: Overall, 415 patients participated in this study, with a mean age (± standard deviation) of
56.7 years (± 11.33). The total mean quality of life of the study participants was 0.73 (± 0.23)
and the total quality adjusted life year for study participants was 2172.6. Quality of life for type
II diabetic patients was mostly affected in the anxiety and depression component. Level 2, level
3 anxious patients were 1.77 times more affected than level 1 with (odd ratio = 1.77, p =0.02)
and level 3 anxious patients were 2.74 more affected than level 1 with (odd ratio = 2.74, p
=0.04). The study participants had an average 7.4 years of follow up with type II diabetic
treatments. Variables which had a significant association with health-related quality of life were,
age, occupation, monthly income, long waiting time and the presence of diabetic complications.
Conclusion: The results of this study revealed a relatively low health status (0.73) among type 2
diabetic patients as compared with the Zimbabwean general population health states (0.842).
Quality of life for type II diabetic patients was mostly affected in the anxiety and depression
component. It could be Worthwhile if the hospital assigns psychiatry professionals for regular
and effective counseling.
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Keywords
Diabetes, Diabetes related complication, Quality of life, Utility, EQ 5D