Adibe Maxwell Ogochukwu, Anosike Chibueze, Nduka Sunday Odunke, Isah Abdulmuminu
Department of Clinical Pharmacy and Pharmacy Management, University of Nigeria, Nsukka, 410001, Enugu, Nigeria.
Department of Clinical Pharmacy and Pharmacy Management, Nnamdi Azikiwe University, Awka, Anambra, Nigeria.
Pharmacoecon Open. 2018 Sep;2(3):337-345. doi: 10.1007/s41669-017-0056-x.
The aim of this study was to determine the health status of type 2 diabetes patients in a Nigerian tertiary hospital, and examine the sociodemographic and clinical variables that predicted the health status of type 2 diabetes patients in terms of utility valuations and EuroQol Visual Analogue Scale (EQ-VAS) score.
This was a cross-sectional study of 147 diabetes patients attending the University of Nigeria Teaching Hospital, Enugu State, Nigeria. The EQ-5D-5L instrument, version 2.1, was used to evaluate patients' self-reported health status, and patients who gave informed consent completed the questionnaire while waiting to see a doctor. Descriptive and multiple linear regression analyses were performed using SPSS version 20.
Overall, 147 patients participated in this study, with a mean age (± standard deviation) of 56.7 years (± 10.33). Over half of the respondents were females (55.1%) and more than half were older than 60 years of age. The mean EQ-VAS and utility valuations of respondents were 72.59 ± 10.51 and 0.72 ± 0.13, respectively. The age of respondents independently and significantly predicted EQ-VAS by -2.659 per year, while the age of respondents, level of education, duration of diabetes, and presence of other illnesses independently and significantly predicted utility valuations by -0.020 per year, +0.029 per level of education, -0.008 per year, and -0.044 per illness, respectively. Less than 39% of patients experienced no problems for each of the dimensions, except self-care (68%).
The results of this study revealed a relatively low health status among type 2 diabetic patients in Nigeria. Old age, duration of diabetes and the presence of other illnesses were major contributors to the negative impact on health status, while a higher level of education contributed positively to health status. Adequate family support, as well as regular and effective patient counseling and education, may be worthwhile.
本研究旨在确定尼日利亚一家三级医院中2型糖尿病患者的健康状况，并从效用估值和欧洲五维度健康量表视觉模拟评分（EQ-VAS）得分方面，研究预测2型糖尿病患者健康状况的社会人口统计学和临床变量。
这是一项对147名在尼日利亚埃努古州尼日利亚大学教学医院就诊的糖尿病患者进行的横断面研究。使用2.1版EQ-5D-5L工具评估患者自我报告的健康状况，签署知情同意书的患者在候诊时填写问卷。使用SPSS 20版进行描述性和多元线性回归分析。
总体而言，147名患者参与了本研究，平均年龄（±标准差）为56.7岁（±10.33）。超过一半的受访者为女性（55.1%），超过一半的受访者年龄超过60岁。受访者的平均EQ-VAS和效用估值分别为72.59±10.51和0.72±0.13。受访者的年龄每年独立且显著地以-2.659预测EQ-VAS，而受访者的年龄、教育程度、糖尿病病程和其他疾病的存在分别以每年-0.020、每教育程度+0.029、每年-0.008和每种疾病-0.044独立且显著地预测效用估值。除自我护理维度（68%）外，各维度中经历无问题的患者均不到39%。
本研究结果显示，尼日利亚2型糖尿病患者的健康状况相对较低。年龄、糖尿病病程和其他疾病的存在是对健康状况产生负面影响的主要因素，而较高的教育程度对健康状况有积极贡献。充足的家庭支持以及定期有效的患者咨询和教育可能是值得的。
