HEALTH RELATED QUALITY OF LIFE AND ITS ASSOCIATED FACTORS AMONG TYPE 2 DIABETES MELLITUS PATIENTS ATTENDING PUBLIC HOSPITALS AT HARARI REGION

Abstract

iabetes mellitus is a complex chronic disease requiring continuous medical care and multifactorial risk reduction strategies beyond glycemic control. Continuous patient self management, education, and support are essential to prevent acute complications and reduce the risk of long-term complications. In Ethiopia, even though several studies have assessed health-related quality of life among type 2 diabetes patients. But, still lack well-established utility values for diabetes patients based on different health states of the disease and there is a paucity of studies that employ societal preference and health-related quality of life. Albeit, it is not uncovered in the study area. Objective: To assess health-related quality of life and its associated factors among type 2 diabetes mellitus patients attending public hospitals at Harari region, Eastern Ethiopia, Methods: An institution-based cross-sectional study design was employed, from June 15 - July 15, 2021.The simple random sampling technique was used to selecting the participants. Health related quality of life was assessed by using Euro quality of life 5-dimension 3 level questionnaires, valued by a general reference population of Zimbabwe tariff, since no value set in Ethiopia. EpiData version 3.1 was used for data entry and Stata version 16 was used for analysis. Multivariate linear regression was used to identify factors associated with health related quality of life. P-value less than 0.05 was considered statically significant and strength of association was measured by coefficient with 95% CI. Result: A total of 414 patients participated in this study, overall mean health-related quality of life of the study participants was 0.714 (± 0.20). Age group above and equal to 65 years old (B= - 0.005), female (B= -0.067), being unemployed (B= -0.034), widowed (B= -0.083), and presence of complication (B=-0.058) were inversely associated with overall health-related quality of life (p <0.05). Conclusion: The overall health-related quality of life among type 2 diabetic patients was 0.714. Old age, female gender, being unemployed, being widowed, and presence of complications, were inversely associated with health-related quality of life. Special attention should be given to the elderly, female, unemployed, and patients who develop a complicationHaramaya University