Factors Effecting Quality of Life of Non Communicable Disease Patients In Contracting Unit For Primary Care Maharaj Nakhon Si Thammarat Hospital.

Abstract

Introduction: Non Communicable Disease, diabetes mellitus and hypertension are major health problem. The diseases are often associated with many complications resulting in decreased quality of life of patients.

Objective: This analytic study purposed to examine quality of life of levels of diabetes patients and hypertensive patients and the factors that can predict the quality of life of patients, so important to be used as a basic for planning for the development of patients services, promoted for self-care, cost reductions resulting from the complications, and can be brought patients back to life with quality in family and community.

 Materials and Methods: The total of 396 samples were simple randomly selected to respond to the questionnaires. Study sample was recruited from public health centers in contracting unit for primary care (CUP) maharaj nakhon si thammarat hospital. The questionnaire was collected using WHOQOL-BREF-THAI. The data was analyzed and presented by frequency, percentage, mean standard deviation. Predictive factors of quality of life was analyzed by performing multiple regression procedure.

Result:  Most of the sample was female (76%) with age of 34 – 88 years  old, average age of 63.59 years. The major group of patients was married (70.70%), education levels was primary school (88.10%). Their monthly family income ranged from 600- 5,000 baths, most of them income was not enough (63.60%), and living with family (91.90%).  The period of diabetes was 2.72 years, hypertension was 6.48 years, and both diabetes and hypertension was 1.95 years. Many patients cannot control diabetes mellitus and hypertension ( 54.50 %). Average score of quality of life of the patient was good levels (= 3.95, S.D.=0.32). With respect to perspective of quality of life, quality of life of the physical was the highest score (= 4.15, S.D.=0.44) and quality of life of the environment respect was the lowest score (= 3.74, S.D.=0.41) when comparing to all perspectives. Factors associated with the quality of life of diabetes and hypertension were age, enough income and performing exercise, at 0.05 level (p< .05, r2=.46). These 3 factors predicted the quality of life of diabetes and hypertension at 46.4%. 

Conclusion: The author suggested that to improve quality of life included patients with diabetes mellitus and hypertension by to develop good caring in health center primary care, taking differerence in aging, income and promote performing exercise could help the patient to increase quality of life.