Title: Impact of Diabetes Education on Quality of Life in Diabetes Patients seen in LUTH Authors: Fasanmade OO1, Fasanmade OA2, Odeniyi IA2, Olopade OB2, Ohwovoriole AE2
Background Diabetes mellitus is an NCD with profound effects on morbidity and mortality. Unfortunately, many people fail to measure the impact on quality of life and mental health of these patients who are under severe health, finance and psychological burden. Aims and Objectives This study aims to measure the impact of diabetes education over 16 weeks on the quality of life of type 2 DM patients seen in the Lagos University Teaching Hospital, (LUTH) Methods A total of 153 participants were available for randomization into three groups (Group Diabetes Education, Individual Diabetes Education and Control). Patients had a 16 weeks diabetes education course given by one of the authors in 2 formats (group or individual setting and there was a control group. The questionnaire used was SF-36(tm) Health Survey Results A total of one hundred and forty-two (142) completed the study giving a completion rate of 92.8% and attrition rate of 7.2%. Completion rate for the females was 93.1% with attrition of 6.9% while the completion rate for males was 92.4% with an attrition of 7.6% (ꭓ2= 0.026, p=0.872) Participants in the intervention group in this study had significant improvements in all the QoL domains (100%) from baseline to the end of study at week 16. While the participants in the control group had improvements in QoL scores from baseline to the end of study but only three domains (27.3%) were significantly improved. The mean changes in all QoL scores were significantly higher in the intervention group compared to control group and the NNT was significant for QoL. Discussion This finding is important more so now that emphasis is shifting from survival or longevity to quality of life adjusted years. It’s no longer how long we live but how well we live. It has been reported that emotions related to the psychological burden of diabetes such as anxiety, depression and poor confidence have been shown to be associated with poor control, higher complication rates and decreased quality of life. Several studies have shown that DE improves emotional well-being and quality of life Another finding of this study was that, the female participants in the intervention group had clinically significant improvement in mental health compared with their male counterparts. The mean changes in other domains were comparable between the sexes. This study revealed that diabetes education improves mental health significantly in women. The importance of this can’t be downplayed bearing in mind the role women play in the family. Conclusion In conclusion, DE significantly resulted in improvement all domains of QoL in T2DM patients and especially so for mental health in women.
Diabetes mellitus , Diabetes education , Quality of life , Nigerians , Research Subject Categories::MEDICINE
Fasanmade OO, Fasanmade OA, Odeniyi IA, Olopade OB, Ohwovoriole AE. Impact of Diabetes Education on Quality of Life in Diabetes Patients seen in LUTH . Abstract presented. Association of Clinical Endocrinologists of Nigeria book of abstracts. 28/4/21.