Association between quality of diabetes care with health related quality of life and functional disability among people with type2 Diabetes Mellitus

Abstract

Introduction: Diabetes is one of the most common metabolic diseases with increasing prevalence and due to the poor quality of diabetes care in most countries, this study was performed aimed to evaluate the quality of care in type II diabetic patients and its relation to quality of life and functional disability. Methods: The present study was a cross-sectional study, which was conducted by trained interviewers on 394 patients with type 2 diabetes referred to diabetes clinics in Tabriz (Imam Reza and Sina Hospitals) in the form of face to face interviews using convenient sampling method from November to March 2014. Data was collected using a structured questionnaire by two trained interviewers. The questionnaire was divided into three parts. using a structured questionnaire and checklist developed by the researchers. Care status of each patient was evaluated according to a quality of care scoring system into three categories: ≤ 10, 15- 20, >20, and based on America Diabetes Association criteria. In second part the 26-item questionnaire of quality of life (WHQOL-BREF) and ohter part assessment of functional disorder questionnaire. Data analysis was performed by using descriptive and analytical statistical methods. descriptive statistics (mean, standard deviation and frequency (percent)) was performed and test-t, Mann-Whitney, ANOVA, Kruskal Wallis were used and Welch test was employed to analyze Pearson and Spearman correlation were also used Analysis was performed using the statistical package for social science (SPSS) Version 23 and a significance level of 5% was set prior to the initiation of the study. Results: According to the results of this study the majority of participants(65/9 %) were female and the mostly age of the participants (50/5%) between 59- 50 years with a mean (SD) 56/67 (9/01). Based on the scoring system mean (SD) of total quality of cure was 08/81±6/81. About one-third of patients (33/2 %) had a quality care score >20, most of them (55/3%) had a score between 15-20. There was an association between HbA1c, cholesterol and duration of disease with a quality of care score which was statistically significant (p<0.05).The mean of overall HQOL was 52.11 ±11.53 and the maximum and minimum dimensions of HQOL were respectively seen in psychological 60.38±14.54 and social dimension 38.32±16.74. There was no significant relationship between differentcategories quality of care and quality of life . As well as the quality of patient care and functional disability of patients were not observed significantly. Conclusion: The scoring system could be a efficient and easy methods to assessment of the quality of diabetes care. Relationship between quality of care and quality of life was not significant.