The Effect of Care Needs on Quality of Life and Chronic Disease Care in Patients with Diabetes

Aim: 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. Methods: A cross-sectional and descriptive study. One hundred forty-five patients with type-2 diabetes who were followed-up between January 2016 and January 2017 in the university hospital 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. One-way 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 data. Results: In this study, the average total PACIC score of patients 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 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 current diabetes treatment compliance and the EQ-5D-5L general health score and PACIC total score. The PACIC decision support and goal setting/guidance sub-scales were found to be significantly different based on the diabetes education status of patients with type-2 diabetes. Conclusions: Planning health education and counseling programs for general care adjustment are recommended for chronic disease management of diabetes. Amac: Bu calismayla; tip 2 diyabetik bireylerde bakim gereksinimlerinin yasam kalitesi ve kronik hastalik bakimina etkisinin incelenmesi amaclandi. Yontem: Kesitsel ve tanimlayici bir calisma. Universite hastanesinde Ocak 2016 - Ocak 2017 tarihleri arasinda takip edilen tip 2 diyabetli 145 hasta calismaya dahil edildi. Verilerin toplanmasinda “Hasta Tanitim ve Bakim Yonetimi Degerlendirme Formu”, “Yasam Kalitesi Degerlendirme Olcegi (EQ-5D-5L)” ve “Kronik Hastalik Bakimini Degerlendirme Olcegi-Hasta Formu (PACIC)” kullanildi. Verilerin degerlendirilmesinde tek yonlu ANOVA testi, Tukey HDS testi, bagimsiz iki orneklem t testi, Kruskal Wallis testi, Mann Whitney U testi ve Pearson korelasyon analizi kullanildi. Bulgular: Bu calismada, tip 2 diyabetli hastalarin ortalama toplam PACIC skorlari tatmin edici bulundu (3.78 ± 0.79). Ancak, EQ-5D-5L ortalama skorunun mukemmele yakin oldugu bulundu (0,84 ± 0,17). EQ-5D-5L puanlari ile PACIC karar destegi ve hedef belirleme / rehberlik alt olcek puanlari arasinda pozitif, EQ-5D-5L skoru ve beden kitle indeksi ile HbA1c degerleri arasinda negatif bir korelasyon bulundu. Mevcut diyabet tedavisine uyum ile EQ-5D-5L genel saglik skoru ve PACIC toplam skoru arasinda da anlamli bir iliski bulundu. PACIC karar destegi ve hedef belirleme / rehberlik alt olceklerinin tip 2 diyabetli hastalarin diyabet egitimi durumuna gore anlamli derecede farkli oldugu bulundu. Sonuclar: Arastirma sonucunda, tip 2 diyabetlilerin kronik hastalik bakim yonetiminde; genel tedaviye uyumu icin saglik egitimi ve danismanlik programlari planlanmasi onerilebilir.