Quality of Life of Diabetes Patients in Health Region 5 in the Post-COVID-19 Pandemic Context: A Cross-Sectional Study
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Abstract
This cross-sectional descriptive study aimed to examine the level of quality of life (QoL) and identify factors associated with QoL among patients with type 2 diabetes mellitus in Health Region 5 in the post–COVID-19 pandemic context. The sample consisted of 512 patients with type 2 diabetes receiving care at primary healthcare facilities in Health Region 5, selected using multistage random sampling. Data were collected using a demographic questionnaire and the Thai version of the Diabetes-39 Quality of Life Questionnaire (D-39 Thailand). Data were analyzed using descriptive statistics and backward binary logistic regression. The results are as follows:
1. The overall quality of life of patients with type 2 diabetes was at a moderate level (M = 3.76, SD = 0.83).
2. Factors significantly associated with quality of life at the .05 level included combined insulin injection therapy (ORadj = 3.466, 95% CI = 1.253–9.590), duration of diabetes longer than 10 years (ORadj = 1.801, 95% CI = 1.208–2.685), self-employment or business occupation (ORadj = 0.501, 95% CI = 0.270–0.929), and monthly income greater than 12,000 baht (ORadj = 0.440, 95% CI = 0.236–0.821).
These findings suggest that insulin therapy and longer duration of illness are associated with improved quality of life, whereas occupation and income are associated with poorer quality of life. Therefore, proactive and comprehensive nursing care should focus on clinically and socioeconomically vulnerable groups, in conjunction with strengthened social support, to enhance quality of life in the post–COVID-19 era.
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