Dataset Information

Quality of life among adult patients living with diabetes in Rwanda: a cross-sectional study in outpatient clinics.

ABSTRACT:

Objectives

To report on the disease-related quality of life of patients living with diabetes mellitus in Rwanda and identify its predictors.

Design

Cross-sectional study, part of the baseline assessment of a cluster-randomised controlled trial.

Setting

Outpatient clinics for non-communicable diseases of nine hospitals across Rwanda.

Participants

Between January and August 2019, 206 patients were recruited as part of the clinical trial. Eligible participants were those aged 21-80 years and with a diagnosis of diabetes mellitus for at least 6?months. Illiterate patients, those with severe hearing or visual impairments, those with severe mental health conditions, terminally ill, and those pregnant or in the postpartum period were excluded PRIMARY AND SECONDARY OUTCOME MEASURES: Disease-specific quality of life was measured with the Kinyarwanda version of the Diabetes-39 (D-39) questionnaire. A glycated haemoglobin (HbA1c) test was performed on all patients. Sociodemographic and clinical data were collected, including medical history, disease-related complications and comorbidities.

Results

The worst affected dimensions of the D-39 were 'anxiety and worry' (mean=51.63, SD=25.51), 'sexual functioning' (mean=44.58, SD=37.02), and 'energy and mobility' (mean=42.71, SD=20.69). Duration of the disease and HbA1c values were not correlated with any of the D-39 dimensions. A moderating effect was identified between use of insulin and achieving a target HbA1c of 7% in the 'diabetes control' scale. The most frequent comorbidity was hypertension (49.0% of participants), which had a greater negative effect on the 'diabetes control' and 'social burden' scales in women. Higher education was a predictor of less impact on the 'social burden' and 'energy and mobility' scales.

Conclusions

Several variables were identified as predictors for the five dimensions of quality of life that were studied, providing opportunities for tailored preventive programmes. Further prospective studies are needed to determine causal relationships.

Trial registration number

NCT03376607.

SUBMITTER: Lygidakis C

PROVIDER: S-EPMC7896598 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Quality of life among adult patients living with diabetes in Rwanda: a cross-sectional study in outpatient clinics.

Lygidakis Charilaos C Uwizihiwe Jean Paul JP Bia Michela M Uwinkindi Francois F Kallestrup Per P Vögele Claus C

BMJ open 20210219 2

<h4>Objectives</h4>To report on the disease-related quality of life of patients living with diabetes mellitus in Rwanda and identify its predictors.<h4>Design</h4>Cross-sectional study, part of the baseline assessment of a cluster-randomised controlled trial.<h4>Setting</h4>Outpatient clinics for non-communicable diseases of nine hospitals across Rwanda.<h4>Participants</h4>Between January and August 2019, 206 patients were recruited as part of the clinical trial. Eligible participants were thos ...[more]

PMID: 33608403

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Project description:Many countries are introducing smaller, more home-like care facilities that represent a radically new approach to nursing home care for people with dementia. The green care farm is a new type of nursing home developed in the Netherlands. The goal of this study was to compare quality of care, quality of life and related outcomes in green care farms, regular small-scale living facilities and traditional nursing homes for people with dementia.A cross-sectional design was used. Three types of nursing homes were included: (1) green care farms; (2) regular small-scale living facilities; (3) traditional nursing homes. All participating nursing homes were non-profit, collectively funded nursing homes in the south of the Netherlands. One hundred and fifteen residents with a formal diagnosis of dementia were included in the study. Data on quality of care was gathered and consisted of outcome indicators (e.g. falling incidents, pressure ulcers), structure indicators (e.g. hours per resident per day), and process indicators (e.g. presence, accessibility and content of protocols on care delivery). Furthermore, questionnaires on cognition, dependence in activities of daily living, quality of life, social engagement, neuropsychiatric symptoms, agitation, and depression were used.Data showed that quality of care was comparable across settings. No large differences were found on clinical outcome measures, hours per resident per day, or process indicators. Higher quality of life scores were reported for residents of green care farms in comparison with residents of traditional nursing homes. They scored significantly higher on the Quality of Life - Alzheimer's disease Scale (p < 0.05, ES = 0.8) indicating a better quality of life. In addition, residents of green care farms scored higher on three quality of life domains of the Qualidem: positive affect, social relations and having something to do (p < 0.05, ES > 0.7). No differences with regular small-scale living facilities were found.Green care farms seem to be a valuable alternative to existing nursing homes. This is important as people with dementia are a heterogeneous group with varying needs. In order to provide tailored care there also is a need for a variety of living environments.

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Dataset Information

Quality of life among adult patients living with diabetes in Rwanda: a cross-sectional study in outpatient clinics.

Objectives

Design

Setting

Participants

Results

Conclusions

Trial registration number

Publications

Quality of life among adult patients living with diabetes in Rwanda: a cross-sectional study in outpatient clinics.

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