Assessment of Quality of Life of Diabetic Patients Type-1- in Mosul City

The aim of the study was to assess health problems related to Health Related of Quality of Life (HRQoL) of diabetic patients Type-1-, and to identify the relationship between some characteristics of diabetic patients Type-1and health problems related to quality of life. This study uses the purposive approach. The study was conducted at Ibn-Sina hospital in Mosul city. The discruptive sample consists of (600) patients who visited Ibn-Sina hospital. In order to collect the study information, a questionnaire was constructed depending on previous studies and related literature review. It is composed of two parts: part one included (6) items which focus on the diabetic patients demographic characteristics such as (sex, age, marital status, occupation, educational level and residence). Part two was composed of (5) main items that covered independency, daily physical activities, psycho-social aspects, beliefs and environment. The total questions included (80) items, three scale options were used in the rating scale: (0) for never, (1) for sometimes and (2) for always. Content validity was determined by presenting the questionnaire to a panel of (12) experts. Internal consistency of the questionnaire was assessed by calculating Cronbach's Coefficient alpha. The data analysis shows that there is a significant statistical association between (HRQoL) items that are related to independency, daily physical activities, psycho-social aspects, beliefs and environment domains. The researcher concluded that (HRQoL) can be measured by instrument and that diabetic patients' independency, daily physical activities, psycho-social aspects, beliefs and environment were affected by their demographic characteristics (sex, age, marital status, occupation, educational level and residence). Depending on the findings and conclusions of the study, the researcher recommended further studies which could improve the instrument of this study from the view point of validity, reliability, and quality of questions. 1 Lecture in Nursing College 2 Directorate of Health, Mosul, Iraq Article information Article history: Received May 1, 2011 Accepted January 02, 2019 Available online July 3, 2018 Mosul Journal of Nursing, Vol. 6, No. 2, 2081 ( 60-37 )


Introduction
Diabetes mellitus is globally one of the most common non -communicable diseases at present. It is the fourth or fifth leading cause of death in most developed countries. Complications from diabetes such as coronary artery and peripheral vascular disease, stroke, nephropathy, neuropathy, amputations and blindness are resulting in increasing disability, reduced life expectancy health cost for most societies.

Importance of the study:
1-Diabetes mellitus is a chronic disease and nursing care is critical in its management, so optimal care with the best quality should be provided for long time need high costs due to bad economic for patient and his family (WHO, 2010). research, but improving health and delivery of care for diabetic patient Type-1-, how to respond to and screen physical, psychological and social problems must be known.

5-Quality of life is influenced by how well
nurse is able to help diabetic patient Type-1-and his family to respond to and be aware of disease risk and complications (WHO, 2010).

Methodology: Administrative Arrangements:
An official permission was obtained from Ministry of Health, Department of Health in Ninavah to ensure its acceptance in order to conduct the study, and to arrange interviews with patients.

Design of the study:
Discruptive study of Health Related Quality of Life covering (600)  (2)Adolescents and young adults who have Type-1-.
(3)Focus groups analysis and results.

Table (4:3) diabetic patient's responses on daily physical activities domains with in 3-level scale by total frequencies, percentages and Chi-Square.
The table indicates significant differences at (P Value = 0.05) of daily physical activities domains. Obs.X 2 = 83.960 D.F = 6 , P Value = 0.000 Crit. X 2 =12.59 The table shows significant differences at (P Value = 0.05) of psycho-social aspects domains. Obs.X 2 = 60.771 D.F = 6 , P Value = 0.000 Crit. X 2 = 12.59 The table shows significant differences at (P Value = 0.05) of beliefs domains.

Daily physical activities domains:
The study finding revealed that there is a

Psycho-social aspects domains:
The study finding revealed that there is a significant statistical association of health related quality of life items which measure with psycho-social aspects assessment.

Beliefs domains:
The study finding revealed that there is a significant statistical association of health related quality of life item which concern with beliefs assessment.

Environment domains:
The study finding revealed that there is a significant statistical association of health

Conclusions:
The findings are based on the results of data analysis. According to the objectives of this study, the conclusions are: (1)The results of this study are interesting because that health problems related to quality of life of diabetic patients Type-1-, they are according to: (independency, daily physical activities, psycho-social aspects, beliefs and environment) domains.
(2)Health related quality of life of diabetic patients Type-1-can be measured by instruments.
(3)The demographic characteristic of diabetic patients Type-1-: sex, age, marital status, occupation, educational level and residence directly affect: independency, daily physical activities, psycho-social aspects, beliefs and environment.
(4)This study is important because of need special staff of nursing that deal with diabetic patients bio-psychosocial wellbeing.

Recommendations:
Depending on the findings and conclusions of the study, the researcher recommended the following: (1)Increase the number of centers of diabetic patients especially to improve quality of life in Mosul city with medical specialization and nursing teams to deal with physical, psychological and social problems of diabetic patients Type-1-.
(2)Affirmation to continue the same researches and studies related to quality of life in diabetic patients Type-1-, and avoidance of restriction of care about the physical problems only.
(3)Follow up diabetic patients Type-1-Ibn-Sina hospital by calling and visiting them in their houses for psychological support and to prevent physical problems.