DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20173843

An observational study to assess the health-related quality of life of type 2 diabetes mellitus patients attending a tertiary care hospital, Belagavi

Raghavendra N., R. G. Viveki, Akash Gadgade

Abstract


Background: ‘Quality of life’ (QOL) evaluation has emerged as an important outcome measure for chronic disease management. Type 2 diabetes mellitus (T2DM) has a number of chronic effects, including disability, cardiovascular disease, kidney disease, and blindness.

Methods: A cross-sectional study was conducted in Non Communicable Disease (NCD) Clinic of tertiary care hospital Belagavi. The data was collected by interviewing 210 Type 2 DM patients, using a pre designed structured questionnaire. QOL was assessed by using World Health Organization Quality of life questionnaire – short version (WHOQOL-BREF).

Results: Of the 210 study subject’s, majority of them were males. The mean and standard deviation scores for physical, psychological, social relationship and environmental domains were 62.36±15.09, 61.84±14.04, 54.92±18.27, 63.61±12.28 respectively. Overall 68.1% of them had good perceived QOL whereas measured QOL was good in only 48.6% of them. Per capita income was positively correlated whereas age and other continuous variables like blood pressure, random blood sugar etc. were negatively correlated with all the four domains of WHOQOL-BREF.

Conclusions:More than half of the study participants (51.4%) had poor QOL. DM had significantly affected Hr-QOL especially the social relationship domain. Participants with older age, obesity, longer duration of DM had poor QOL. 

 


Keywords


Health related Quality of life, WHOQOL-BREF, Type 2 diabetes mellitus, Non-communicable disease

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References


WHO. Fact sheet: Diabetes Mellitus, 2016. Available at: http://www.who.int/mediacentre/ factsheets/fs360/en /. Accessed on 3 August 2016.

Programme on mental health. WHOQOL, Measuring quality of life. Division of mental health and Prevention of substance abuse. World health organization. Available at: http://www.who.int/ mental_health/media/en/76.pdf. Accessed on 3 August 2016.

Somappa HK, Venkatesha M, Prasad R. Quality of life assessment among type 2 diabetic patients in rural tertiary centre. Int J Med Sci Public Health. 2014;3(4):415-7.

WHO-QOL, Introduction, administration, scoring and generic version of the assessment. Field trial version. December 1996. Programme on mental health. WHO Geneva. Available at: http://www.who.int/mental_health /media/en/76.pdf?ua=1 Accessed on 3 August 2016.

Genga EK, Otieno CF, Ogola EN, Maritim MC. Assessment of the Perceived Quality of Life of Non-insulin Dependent Diabetic patients attending the Diabetes Clinic in Kenyatta National Hospital. IOSR J Pharm. 2014;4(3):15-21.

Jain V, Shivkumar S, Gupta O. Health-Related Quality of Life (Hr-Qol) in Patients with Type 2 Diabetes Mellitus. N Am J Med Sci. 2014;6(2):96-101.

Mishra SR, Sharma A, Bhandari PM, Bhochhibhoya S, Thapa K. Depression and Health-Related Quality of Life among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Nepal. PLOS ONE. 2015;10(11):1-13.

Manjunath K, Christopher P, Gopichandran V, Rakesh PS, George K, Prasad JH. Quality of Life of a Patient with Type 2 Diabetes: A Cross-Sectional Study in Rural South India. J Family Med Prim Care. 2014;3(4):396-9.

Anju R, Shashidhara YN, Manjula. Quality of life of people with non-communicable diseases. NITTE Univ J Health Sci. 2015;5(3):71-6.

Chew BH, Mohd-Sidik S, Shariff-Ghazali S. Negative effects of diabetes–related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia. Health and Quality of Life Outcomes. Health Qual Life Outcomes. 2015;13:187.

Ali G, Mohammad A, Abasalt B, Faramarz S, Zahra S, Esmail Z. Quality of Life in Patients with Type 2 Diabetes: Application of WHOQoL-BREF Scale. Shiraz E-Medical J. 2013;14(3):162-71.

Alireza D, Mohammad A. Health-Related Quality of Life and its Determinants Among Women With Diabetes Mellitus: A Cross-Sectional Analysis. Nurs Midwifery Stud. 2016;5(1):e28937.

Ashraf E, Rafael TM, Alexander K, Ulrich L. Health-related quality of life in diabetic patients and controls without diabetes in refugee camps in the Gaza strip: a cross-sectional study. BMC Public Health. 2006;6(268):1-7.

Quah JH, Luo N, Ng WY, How CH, Tay EG. Health-related Quality of Life is Associated with Diabetic Complications, but not with Short-term Diabetic Control in Primary Care. Annals Acade Med. 2011;40(6):276-86.

Renata Z, Radka B, Eva J, Darja J. Evaluation of quality of life of patients with diabetic foot syndrome in selected health care facilities of Moravian Silesian Region. Osetr Porod Asist. 2014;5(1):2-8.