The Development of Health-Related Quality of Life Programme among type 2 diabetic patients in Tam binh District Vinh long Province Vietnam

Abstract

Introduction: Diabetes is a complex and most serious chronic disease.

Objectives: This study investigated the development of health-related quality of life programs among type2 diabetic patients in Tam Binh District, Vinh Long Province, Vietnam.

Methods: The research was carried from December 2018 to November 2019. The mixed-methods research was applied within 3 phases. Phase 1: The quantitative method assessed the diabetic’s health-related quality of life of 500 types 2 diabetes patients. Phase 2: The implementation program employed the quasi-experimental methods comparing the diabetic’s knowledge, attitude, and practice of 85 types 2 diabetes participants. Phase 3: The evaluation phase investigated the implementation program by the Vietnamese diabetes quality of life and knowledge, attitude, and practice questionnaires with 85 types 2 diabetic patients

Results: In 1st phase was shown that the health-related quality of life was moderate 60.15 scores. The inter-personal relationship had the lowest score 40.06 points. The highest score detected for physical endurance 79.48 scores. The statistically significant distinguished in the individual factors like age, marital status, residence place, family type, occupational status, monthly income, diabetic duration, glycemia, HbA1C, hypoglycemia, treatments, and other medical issues. 2nd phase indicated that the participants had low diabetic knowledge 37.882 scores. Meanwhile, the patient's attitude toward disease was average 65.971 scores. However, the patient’s practice was low 52.120 scores. There was different relationship between participant's characteristics, knowledge, and attitude with practices: marital status (p = 0.007), age (p = 0.004), diabetic duration (p = 0.005), hypoglycemia (p < 0.001), knowledge (p = 0.034) and attitude (p < 0.001). 3rd phase: confirmed that after 6 months, the patients had more diabetic information p < 0.001. Furthermore, there were better-controlled glycemia and HbA1C (p < 0.001). The Vietnamese diabetic quality of life has improved, and the domain's score increased markedly (p < 0.001). The diabetic knowledge, attitude, and practice have significantly changed p < 0.001.

Conclusion: The health education program with the knowledge provided in the instructor's materials and explanations has greatly improved the quality of life, knowledge, and attitude toward diabetes, and self-management practices. This should be enhanced by authorities to take the action applying this program for all Vietnamese diabetic patients.

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