Treatment Satisfaction and Quality of Life among Type 2 Diabetes Patients: A Cross-Sectional Study in West Bank, Palestine

Abstract EN

Objectives.

This study had the goal of evaluating the role of treatment satisfaction among diabetic patients in the context of health-related quality of life (QoL) and medication adherence.

Methods.

This study, which utilized a cross-sectional design, was conducted at the Primary Healthcare Unit in the Ministry of Health in Ramallah between Feb.

and May 2019.

Medication adherence was evaluated with the 4-item Morisky Green-Levine (MGL) questionnaire, treatment satisfaction using the Treatment Satisfaction Questionnaire for Medication version 1.4 (TSQM 1.4), and health-related quality of life with the European Quality of Life scale (EQ-5D-3L).

Results.

Study participants consisted of 380 diabetic patients, of which 220 (57.9%) had high adherence to their medications and 160 (42.1%) had low adherence.

Based on the classification of patient responses among the EQ-5D domains, pain/discomfort was the most influenced dimension, with 173 patients (36.1%) reporting problems, (36.1%).

Also prominent were anxiety and depression (128 patients, 33.7%) and Mobility (115 patients, 30.3%).

A significant relation was observed between QoL and treatment satisfaction (73.8 vs.

69.8; P=0.016).

Treatment satisfaction also had a significant association with the anxiety domain (39.4 vs.

28.7; P=0.031).

Conclusion.

Participants expressed moderate satisfaction with their treatments; more satisfied patients showed greater medication adherence and had better QoL.

Anxiety has been shown to be associated with reduced medication adherence and lower QoL.