Health-related quality of life among patients undergoing chronic disease management: A cross-sectional study

ABSTRACT

The aim of this study is to evaluate the health-related quality of life (HRQOL) of patients with diabetes and hypertension,participating in the Chronic Disease Management Program (Prolanis) in Purwokerto Regency, Indonesia, using thefive-level version of the EuroQol five-dimension instrument (EQ-5D-5L). A cross-sectional study was conductedon 267 diabetic and 349 hypertensive patients in six community health centers, using the Indonesian version of theEQ-5D-5L. The EQ-5D-5L utility index was calculated using the Indonesian value set as well as the percentagesof the problem in each dimension. The statistical analyses were performed to identify the differences in the EQ-5Dutility index between diabetes and hypertension and in the study characteristics. The mean EQ-5D-5L score amongdiabetic patients was 0.879 ± 0.115, whereas for hypertensive patients, it was 0.879 ± 0.116. Separately, the EQ visualanalog scale (EQ-VAS) for diabetes and hypertension was 80.030 ± 12.893 and 79.180 ± 14.223, respectively. Themost frequently reported problems were pain/discomfort (67.42% in diabetes and 62.75% in hypertension) followedby anxiety/depression (36.33% in diabetes and 41.11% in hypertension). There was no significant difference betweenthe utility index values (p = 0.056) nor EQ-VAS scores (p = 0.573) of diabetic and hypertensive patients. The workstatus had a significant effect on the HRQOL of diabetic patients (p = 0.016). This study suggests that healthcareprofessionals should pay more attention to pain and depression management to improve the lives of patients withchronic disease