Diabetes mellitus, which has a wide range of effects on the physical, social and psychological aspects of the well-being of a person, is a common and challenging chronic disease that causes a significant rate of morbidity and mortality. However, studies in our country, by and large, focused on the impact of the disease in terms of mortality and morbidity alone. Therefore, the objective of this study was to assess the health-related quality of life (HRQOL) and associated factors of diabetic patients at the University of Gondar referral hospital, Ethiopia. A facility-based cross-sectional study was conducted at the University of Gondar referral hospital from April to May 2017. A generic World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to measure the HRQOL. The data were analyzed by Stata version 12. Multiple Linear Regression analysis with P-value 0.05 was used to measure the degree of association between HRQOL and independent variables. A total of 408 patients with Diabetes Mellitus were included in the study. The HRQOL scores for physical, psychological, social and environmental domains were 50.9, 54.5, 55.8 and 47.3, respectively. Diabetes-related complications had a significant association with all except the psychological domain. Higher HRQOL was associated with exercising, following the recommended diet, foot care, sensible drinking and the absence of co-morbidities. However, old age, unemployment and being single and widower had a significant association with lower HRQOL. The environmental and physical domains of HRQOL scores were the lowest compared to the social and psychological domains. Old age and living in rural area had a significant association with a lower HRQOL, whereas the absence of diabetes-related complications, exercising, general diet and foot care had a significant association with better HRQOL of patients. Therefore, strong advice on the recommended lifestyle is important, and old patients and rural dwellers should get due attention. In addition, the prevention of diabetes-related complications is important to improve the patient HRQOL which is an important outcome measurement from the patient’s perspective related to the impact of the disease. Therefore, including HRQOL assessment as part of routine management is necessary.

中文翻译：

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贡德尔大学转诊医院的糖尿病患者的健康相关生活质量和相关因素。

糖尿病对人的身心健康，生理和社会方面都有广泛的影响，是一种常见且具有挑战性的慢性疾病，会导致很高的发病率和死亡率。然而，我国的研究大体上仅就死亡率和发病率而言就集中于该疾病的影响。因此，本研究的目的是评估埃塞俄比亚贡达尔大学转诊医院的糖尿病患者的健康相关生活质量（HRQOL）和相关因素。2017年4月至2017年5月，在贡德尔大学转诊医院进行了基于设施的横断面研究。使用了世界卫生组织的生活质量普通问卷（WHOQOL-BREF）来测量HRQOL。数据由Stata版本12分析。P值0.05的多元线性回归分析用于衡量HRQOL与自变量之间的关联程度。该研究总共包括408名糖尿病患者。身体，心理，社会和环境领域的HRQOL得分分别为50.9、54.5、55.8和47.3。糖尿病相关的并发症与除心理因素外的其他因素都有显着相关性。遵循建议的饮食，足部护理，合理饮酒和没有合并症，较高的HRQOL与运动有关。然而，高龄，失业，单身和w夫与较低的HRQOL密切相关。与社交和心理领域相比，HRQOL得分的环境和物理领域最低。老年人和农村地区生活与较低的HRQOL密切相关，而没有糖尿病相关并发症，运动，一般饮食和足部护理与患者较高的HRQOL密切相关。因此，就推荐的生活方式提供强有力的建议很重要，老年患者和农村居民应得到应有的重视。另外，预防与糖尿病有关的并发症对于改善患者的HRQOL也很重要，这是从患者角度看与疾病影响有关的重要结果。因此，有必要将HRQOL评估作为日常管理的一部分。因此，就推荐的生活方式提供强有力的建议很重要，老年患者和农村居民应得到应有的重视。另外，预防与糖尿病有关的并发症对于改善患者的HRQOL也很重要，这是从患者角度看与疾病影响有关的重要结果。因此，有必要将HRQOL评估作为日常管理的一部分。因此，就推荐的生活方式提供强有力的建议很重要，老年患者和农村居民应得到应有的重视。另外，预防与糖尿病有关的并发症对于改善患者的HRQOL也很重要，这是从患者角度看与疾病影响有关的重要结果。因此，有必要将HRQOL评估作为日常管理的一部分。