The effect of care needs on quality of life and chronic disease care in patients with type-2 diabetes

The aim of this study was to investigate the effect of care needs on quality of life and chronic disease care in patients with type-2 diabetes. One hundred forty-five patients with type-2 diabetes who were followed-up between January 2016 and January 2017 in Namık Kemal University Training and Research hospital, Endocrinology and Metabolism outpatient clinic, were included in the study. The "Patient Presentation and Care Management Evaluation Form", "Quality of Life Assessment Scale (EQ-5D-5L)" and "Chronic Illness Care Assessment Scale-Patient Form (PACIC)" were used for the collection of data. The forms were filled by face-to-face interview technique carried out by the researcher. Oneway Anova test, Tukey HDS test, independent two sample t test, Kruskal Wallis test, Mann Whitney U test and Pearson correlation analysis were used for the evaluation of the data. In this study, the average total PACIC score of patients with with type-2 diabetes was found to be satisfactory (3,78±0,79). However, the EQ-5D-5L average score was found to be close to perfect (0,84 ± 0,17). A positive correlation was found between EQ-5D-5L scores and PACIC scores' decision support and goal setting / guidance sub-scale scores, and a negative correlation was found between positive EQ-5D-5L score and body mass index and HbA1c values. A significant correlation was also found between the current diabetes treatment compliance and the EQ-5D-5L general health score and PACIC total score. The PACIC scores' decision support and goal setting/guidance sub-scale was found to be significantly different according to the diabetes education status of the patients with type-2 diabetes. As a result of the research, planning health education and counseling programs for general care adjustment may be recommended for chronic disease management of diabetes.