Assessment of Health-Related Quality of Life of Patients with Type 1 and Type 2 Diabetes Using ADDQoL Questionnaire in a Tertiary Care Hospital: A Cross-Sectional Study
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Abstract
Objective: This study aimed to determine the healthrelated quality of life (HRQoL) of patients with diabetes (PwD) using the Audit of Diabetes-Dependent Quality of Life (ADDQoL) questionnaire. Material and methods: A cross-sectional, observational study was conducted among 300 PwD to evaluate their HRQoL by using ADDQoL questionnaire. The association between impact, importance, and weighted impact scores were assessed by applying various tests. Chisquare test was used to find the association between condition-specific domains and weighted impact scores. Kruskal-Wallis test was used to determine the association between patient-related demographic variables and average weighted impact scores (AWIS). All analysis was done at significance level p ≤ 0.05. Results: The mean age of the participants was 55.49 years. Out of 300 patients, the majority were male (n = 153), married (96.7%) and urban residents (57.7%). The most affected domain was family life (–5.18) followed by financial situation (–4.52) and physical health (–4), and the least affected domain was people’s reactions (–1.27) followed by local or long-distance journeys (–1.38) and holidays (–1.39). The mean AWI score (–3.31) indicated most of the patient’s QoL was impacted by diabetes. Kruskal-Wallis test identified that gender, residence, marital status, education, and family income were confounding factors associated with HRQoL of patients. Conclusions: Diabetes was found to have a greater negative impact on HRQoL. Most of the patients rated their present QoL to be bad and thought that QoL would be slightly better if they did not have diabetes.
Keywords: audit of diabetes-dependent quality of lifeaverage weighted impact scorehealth-related quality of lifetype 1 diabetestype 2 diabetesweighted impact score
References
- American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010; 33 Suppl 1(Suppl 1): S62–S69.
- Bahl G, Upadhyay D, Varma M, et al. Chronic Calcific Pancreatitis Presented with Secondary Diabetes and Diabetic Ketoacidosis: A Case Report. Clinical Diabetology. 2023; 12(3): 209–211.
- Sriram S, Chack LE, Ramasamy R, et al. Impact of pharmaceutical care on quality of life in patients with type 2 diabetes mellitus. J Res Med Sci. 2011; 16 Suppl 1(Suppl1): S412–S418.
- Wild S, Roglic G, Green A, et al. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004; 27(5): 1047–1053.
- Singh H, Bradley C. Quality of life in diabetes. International Journal of Diabetes in Developing Countries. 2006; 26(1): 7.
- Porojan M, Poantă L, Dumitraşcu DL. Assessing health related quality of life in diabetic patients. Rom J Intern Med. 2012; 50(1): 27–31.
- Oluchi SE, Manaf RA, Ismail S, et al. Health Related Quality of Life Measurements for Diabetes: A Systematic Review. Int J Environ Res Public Health. 2021; 18(17): 9245.
- Wee HL, Tan CE, Goh SY, et al. Usefulness of the Audit of Diabetes-Dependent Quality-of-Life (ADDQoL) questionnaire in patients with diabetes in a multi-ethnic Asian country. Pharmacoeconomics. 2006; 24(7): 673–682.
- Upadhyay DK. Impact Assessment of Pharmaceutical Care Intervention on Newly Diagnosed Diabetes Mellitus Patients in a Tertiary Care Hospital of a Sub Metropolitan City of Western Nepal (doctoral dissertation, Universiti Sains Malaysia). http://eprints.usm.my/43365/2/Dinesh%20Kumar%20Upadhyay24.pdf (5.01.2024).
- Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. Australas Med J. 2014; 7(1): 45–48.
- Bradley C, Todd C, Gorton T, et al. The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL. Qual Life Res. 1999; 8(1-2): 79–91.
- Upadhyay DK, Mohamed Ibrahim MI, Mishra P, et al. Impact assessment of pharmacist-supervised intervention on health-related quality of life of newly diagnosed diabetics: A pre-post design. J Pharm Bioallied Sci. 2020; 12(3): 234–245.
- Bradley C, Speight J. Patient perceptions of diabetes and diabetes therapy: assessing quality of life. Diabetes Metab Res Rev. 2002; 18 Suppl 3: S64–S69.
- IBM SPSS Statistics for Windows, Version 29.0. IBM Corp. Armonk, NY, 2021.
- Kong D, Ding Y, Zuo X, et al. Adaptation of the Audit of Diabetes-Dependent Quality of Life questionnaire to people with diabetes in China. Diabetes Res Clin Pract. 2011; 94(1): 45–52.
- Levterova B, Orbetzova M, Levterov G, et al. Assessment of the impact of type 2 diabetes on the quality of life by Audit of Diabetes-Dependent Quality-of-Life (ADDQoL-19). Biotechnology & Biotechnological Equipment. 2018; 32(6): 1627–1634.
- Jannoo Z, Yap BW, Musa KI, et al. An audit of diabetes-dependent quality of life in patients with type 2 diabetes mellitus in Malaysia. Qual Life Res. 2015; 24(9): 2297–2302.
- Kontoteza IV, Dragamestianou A, Galanis P, et al. Investigating Diabetes Mellittus Impact on Various Aspects of Patients’ Quality of Life. In: Mantas J, Gallos P, Zoulias E, Hasman A, Househ M, Liaskos M, Diomidous J, Charalampidou M. ed. Advances in Informatics, Management and Technology in Healthcare. IOS Press, Amsterdam 2022: 470–473.
- Asmar I, Dreidi MT, Jaghama MK, Tawil K. Health-related quality of life among Palestinians with diabetes. Journal of Diabetes Nursing. 2021. http://hdl.handle.net/20.500.11889/6805 (5.01.2024).
- Komal S, Srividya V. Health-related Quality of Life among Diabetics visiting RajaRajeswari Medical College and Hospital, Bengaluru. The Journal of Medical Sciences. 2016; 2(2): 31–35.
- Gautam Y, Sharma Ak, Agarwal Ak, et al. A Cross-sectional Study of QOL of Diabetic Patients at Tertiary Care Hospitals in Delhi. Indian J Community Med. 2009; 34(4): 346–350.
- Naous E, Boulos M, Sleilaty G, et al. Quality of life and other patient-reported outcomes in adult Lebanese patients with type 2 diabetes during COVID-19 pandemic. J Endocrinol Invest. 2022; 45(4): 763–772.
- Gvozdanović Z, Farčić N, Šimić H, et al. The Impact of Education, COVID-19 and Risk Factors on the Quality of Life in Patients with Type 2 Diabetes. Int J Environ Res Public Health. 2021; 18(5).