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Background: People with diabetes have an increased risk of developing a number of serious lifethreatening health problems which lower quality of life. Poor quality of life is believed to negatively influence self care, which brings to declined glycemic control, increased dangers for complication, and intensification of diabetes overwhelming in both the short run and the long run. In Ethiopia, which is among the top four nations with the highest adult diabetic populations in subSaharan Africa, there are just a few studies directed on health related quality of life in type II DM patients. Objective: The aim of the study was to assess health-related quality of life and its determinant among type II diabetes mellitus patients, in selected public hospitals of Addis Ababa, 2020. Methods: Institution-based cross sectional study was conducted among systematically sampled 309 type II diabetes mellitus patients attending diabetes follow up clinic of three randomly selected public hospitals in Addis Ababa from May-18 to June-17, 2020 using short form-36 questionnaires to determine the health-related quality of life. The data was collected through face-to-face interview from selected public hospitals. We used descriptive statistics to present the data. Simple and multiple linear regressions were done to identify associated factors with health-related quality of life. P-value <0.05 was considered as independently associated factor for health-related quality of life. Ethical clearance was obtained from School of Public Health ethical review committee. Result: The mean age was 52.28(12.9). Around 59 % were female and 68 % were married. Around 30.1% of patients developed one or more diabetic-related complications and 57.9% have comorbidities. The mean for the domains of Short-form-36 ranges from 52.91(24.33) for role limitation due to physical problem to 72.7(15.13) for mental health. The mean and standard deviation for physical and mental component summary were 40.15 (7.27) and 48.11 (8.87) respectively. Multiple linear regressions indicated age, married, attended college and above, overweight, obesity, longer durations of diabetes mellitus, treatment modality, diabetic-related complications and co-morbidities as independent factors for one or more domains of SF-36 and the two summary measures of health-related quality of life. Conclusion: Age, married, attended college and above, obesity, overweight, longer duration of DM, used insulin alone or combined medication, diabetic-related complications and co-morbidities were factors associated with health-related quality of life. |
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