Psychological Impact of Diabetic Care on Satisfaction and Quality of Life of Diabetes Patients Attending Endocrinology Clinic, LAUTECH Teaching Hospital, Osun State, Southwest, Nigeria

Abstract

Aims: Diabetes mellitus (DM) is a complex, debilitating and chronic illness that presents substantial challenges to every individual living with the condition. The impact of DM reaches far beyond the physical symptoms of the disease, often the emotional distress and psychosocial impact on the quality of life (QoL) of these patients complicates the effective management of the disease. Therefore, the objective of this study was to evaluate the impact of psychological experience and satisfaction with diabetic care on quality of life of diabetes patients. Study Design: This was a descriptive research survey design carried out among diabetes patients attending endocrinology clinic of LAUTECH Teaching Hospital, Osogbo, Osun State, Southwest, Nigeria between August to December 2020.  Methodology:  Sample size determination was obtained using Taro Yamane’s formula and sample consisted of one hundred and ten (110) diabetic patients attending endocrinology clinic of  LAUTECH Teaching Hospital, Osogbo. Samples were selected using convenience sampling method. Data were collected using modified Kessler psychological distress scale and Diabetes Quality of life Instrument and analyzed using descriptive statistics of frequencies, percentages and table. Inferential statistics of chi-square was used to test hypotheses at 0.05 level of significance. Results: The results showed that more than half of the patients had poor psychological experience 61(55.5%) with diabetic care, though majority were satisfied 66(60.0%) with diabetic care but demonstrated poor quality of life 65(59.1%). The result also showed a significant relationship between psychological experience and quality of life (x2=5.564; df=1; p-value=0.018), level of satisfaction with diabetic care and quality of life (x2=25.280; df=2; p-value=0.000), level of satisfaction with diabetic care and psychological experience of diabetes patients (x2=25.185; df=1; p-value=0.000). Conclusion: Promotion of psychological wellbeing of diabetes patients and quality outcome of diabetic care as well as patient-centered psychological care are essential by providing care that is respectful and responsive to individual patient preferences, needs and values.