Wonde Tewodros Eshete, Ayene Tessema Reta, Moges Nurilign Abebe, Bazezew Yibelu
Department of Health Informatics, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Department of Public Health, Public Health Emergency Management (PHEM) Officer, Gondar, Ethiopia.
Heliyon. 2022 Aug 13;8(8):e10182. doi: 10.1016/j.heliyon.2022.e10182. eCollection 2022 Aug.
Health-related quality of life (HRQOL) is a multifaceted concept that is strongly impacted by Type II diabetes in developing countries. The majority of studies indicate diabetes mellitus prevalence without looking at people's quality of life. This study was conducted using an Institution-based cross-sectional design in Debre Markos Referral Hospital from March 03 to March 31, 2020. We evaluated HRQOL using the WHO quality of life BREF and data were obtained through face-to-face interviews. We used a systematic random sampling technique to select study participants. Data were entered into Epi data version 3.1 and exported to STATA version 14.0. Candidates for multivariable analysis were variables with a P-value less than 0.25 in the bivariable analysis and P-value less than 0.05 were considered to declare a statistically significant association. The final model was tested for its goodness of fit using Hosmer and Lemeshow's statistics. The analysis included a total of 368 adult individuals with type II diabetes and 206 (56%) had a good HRQOL. Being male (AOR = 4.28, 95%CI:2.36, 7.78), having duration of disease of more than 59 months (AOR = 2.93, 95%CI:1.61, 5.34), doing a physical exercise (AOR = 2.33,95%CI:1.34, 4.05) and got counseling (AOR = 3.33; 95%CI:1.82, 5.94) were directly associated with good HRQOL whereas the presence of diabetic complications (AOR = 0.46, 95%CI:0.26, 0.80), comorbidity (AOR = 0.45; 95%CI:0.25, 0.84) and drinking alcohol (AOR = 0.27, 95%CI:0.16, 0.48) had an inverse relationship with good HRQOL. More than half of type 2 diabetic adult patients had a good HRQOL. Being male, drinking alcohol, getting counseling, doing physical exercise, absence of diabetic complications, and comorbidity and long duration of disease were predictors of good HRQOL. Therefore, avoiding drinking alcohol and promoting physical exercise and counseling should be encouraged.
健康相关生活质量（HRQOL）是一个多方面的概念，在发展中国家受到II型糖尿病的强烈影响。大多数研究表明了糖尿病的患病率，但没有考察人们的生活质量。本研究于2020年3月3日至3月31日在德布雷马科斯转诊医院采用基于机构的横断面设计进行。我们使用世界卫生组织生活质量简表评估健康相关生活质量，并通过面对面访谈获取数据。我们采用系统随机抽样技术选择研究参与者。数据录入Epi data 3.1版本，并导出到STATA 14.0版本。多变量分析的候选变量是在双变量分析中P值小于0.25的变量，P值小于0.05被认为具有统计学显著关联。使用霍斯默和莱梅肖统计量对最终模型的拟合优度进行检验。该分析共纳入368名II型糖尿病成年患者，其中206名（56%）健康相关生活质量良好。男性（调整后比值比[AOR]=4.28，95%置信区间[CI]：2.36，7.78）、病程超过59个月（AOR=2.93，95%CI：1.61，5.34）、进行体育锻炼（AOR=2.33，95%CI：1.34，4.05）和接受咨询（AOR=3.33；95%CI：1.82，5.94）与良好的健康相关生活质量直接相关，而糖尿病并发症的存在（AOR=0.46，95%CI：0.26，0.80）、合并症（AOR=0.45；95%CI：0.25，0.84）和饮酒（AOR=0.27，95%CI：0.16，0.48）与良好的健康相关生活质量呈负相关。超过一半的2型糖尿病成年患者健康相关生活质量良好。男性、饮酒、接受咨询、进行体育锻炼、无糖尿病并发症、无合并症以及病程长是健康相关生活质量良好的预测因素。因此，应鼓励避免饮酒，促进体育锻炼和咨询。
