Assessment Of Health-related Quality Of Life And Associated Factors Among Type Ii Diabetic Patients In Ayder Comprehensive Specialized Hospital Tigray Ethiopia.

Background: The overall prevalence of diabetic mellitus has increased from 171 million in 2000rnto 366 million in 2030. Health-related quality of life of patients is essential in health economicrnevaluations. Type II diabetes shows a significantly greater decline in quality of life but data onrnEthiopian population is rare. rnrnObjective: This study aims to estimate health related quality of life, and associated factorsrnamong type II diabetic patients in Ayder comprehensive specialized hospital Tigray, Ethiopia.rnrnMethods: A hospital-based cross-sectional study was carried out on 415 type II diabetic patients.rnHealth outcomes were calculated in micro soft-excel and all the possible health states werernvalued by a general reference population of Zimbabwe tariff. The EQ-5D-3L instrument wasrnused to evaluate patients’ self-reported health status. An ordinary logistic regression analysis wasrnused to show a significant association of factors with a health related quality of life. rnrnResult: Overall, 415 patients participated in this study, with a mean age (± standard deviation) ofrn56.7 years (± 11.33). The total mean quality of life of the study participants was 0.73 (± 0.23)rnand the total quality adjusted life year for study participants was 2172.6. Quality of life for typernII diabetic patients was mostly affected in the anxiety and depression component. Level 2, levelrn3 anxious patients were 1.77 times more affected than level 1 with (odd ratio = 1.77, p =0.02)rnand level 3 anxious patients were 2.74 more affected than level 1 with (odd ratio = 2.74, prn=0.04). The study participants had an average 7.4 years of follow up with type II diabeticrntreatments. Variables which had a significant association with health-related quality of life were,rnage, occupation, monthly income, long waiting time and the presence of diabetic complications.rn rnConclusion: The results of this study revealed a relatively low health status (0.73) among type 2rndiabetic patients as compared with the Zimbabwean general population health states (0.842).rnQuality of life for type II diabetic patients was mostly affected in the anxiety and depressionrncomponent. It could be Worthwhile if the hospital assigns psychiatry professionals for regularrnand effective counseling.

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