Esubalew Habtamu, Belachew Ayele, Seid Yimer, Wondmagegn Habtamu, Temesgen Kidus, Ayele Tsegazeab
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Diabetes Metab Syndr Obes. 2024 Feb 29;17:1039-1049. doi: 10.2147/DMSO.S448950. eCollection 2024.
Diabetes, one of the major global health emergencies of the 21st century, can affect a patient's quality of life. A compromised quality of life has adverse effects on self-care practices, resulting in inadequate glycemic control and an increased susceptibility to complications. In Ethiopia, there is a paucity of information regarding the quality of life of patients with type 2 diabetes mellitus. Therefore, this study aimed to assess health-related quality of life in type 2 diabetes mellitus patients.
A cross-sectional study was conducted among type 2 diabetes mellitus patients attending diabetes follow-up clinics in selected public hospitals in Addis Ababa using short form- 36 (SF-36) health survey measures. Descriptive statistics were used to summarize the characteristics of the study participants. Simple and multiple linear regressions were done to identify significantly associated factors with health-related quality of life.
A total of 309 patients participated in this study. The mean scores of the physical and mental component summaries were 40.15 (SD = 7.27) and 48.11 (SD = 8.87), respectively. Being old, being overweight or obese, living with type 2 diabetes mellitus for more than fifteen years, taking combined medication, having diabetes-related complications, and having comorbidities were factors that reduced the mean score of the physical component summary (p-value<0.05). Being obese and diabetes related complication were factors that negatively affect mental component summary (p-value <0.05). On the other hand, being married was factors that positively affect mental component summary (p-value <0.05).
Older age, being married, obesity, overweight, longer duration of diabetes, using combined medications, diabetic-related complications, and co-morbidities were factors associated with health-related quality of life. Healthcare providers should strengthen counseling patients on lifestyle modifications such as diet modifications, and weight reduction.
糖尿病是21世纪全球主要的健康紧急情况之一，会影响患者的生活质量。生活质量受损会对自我护理行为产生不利影响，导致血糖控制不佳以及并发症易感性增加。在埃塞俄比亚，关于2型糖尿病患者生活质量的信息匮乏。因此，本研究旨在评估2型糖尿病患者的健康相关生活质量。
采用简短健康调查问卷-36（SF-36）对亚的斯亚贝巴选定公立医院糖尿病随访诊所的2型糖尿病患者进行横断面研究。描述性统计用于总结研究参与者的特征。进行单因素和多因素线性回归以确定与健康相关生活质量显著相关的因素。
共有309名患者参与本研究。身体和心理成分总结的平均得分分别为40.15（标准差=7.27）和48.11（标准差=8.87）。年龄较大、超重或肥胖、患有2型糖尿病超过15年、联合用药、患有糖尿病相关并发症以及患有合并症是降低身体成分总结平均得分的因素（p值<0.05）。肥胖和糖尿病相关并发症是对心理成分总结产生负面影响的因素（p值<0.05）。另一方面，已婚是对心理成分总结产生积极影响的因素（p值<0.05）。
年龄较大、已婚、肥胖、超重、糖尿病病程较长、使用联合药物、糖尿病相关并发症以及合并症是与健康相关生活质量相关的因素。医疗保健提供者应加强对患者进行生活方式改变的咨询，如饮食调整和减重。
