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

Abstract

Objective: This study aimed to determine the health-related 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. Chi-square 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.