Quality of Life and Its Predictors for Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus

第二型中老年糖尿病患生活品質及其預測因素

黃美娟(Mei-Chuan Huang)；洪志秀(Chich-Hsiu Hung)

第二型糖尿病 ； 自我照顧行為 ； 社會支持 ； 生活品質 ； Type 2 Diabetes Mellitus ； self-care behavior ； social support ； quality of life

The Journal of Nursing Research

15卷3期（2007 / 09 / 01）

193 - 201

英文

本研究的目的在於探討第二型中老年糖尿病患人口學特性、疾病相關特性、自我照顧行為和社會支持與生活品質的關係，並預測病患生活品質及其影響因素。採用橫斷式調查研究法，以立意取樣收集南台灣某醫學中心新陳代謝科門診，40歲以上之第二型糖尿病病患131名，採用自我照顧行為量表、社會支持量表與台灣簡明版世界衛生組織生活品質量表進行資料收集。研究結果發現第二型糖尿病患的生活品質的預測因素為自我照顧行為、經濟狀況和住院次數，解釋總變異量為21%。本研究結果提供醫護人員認識第二型糖尿病患生活品質之相關因素，進而協助患者改善以及提昇其生活品質。

The purpose of this study was to explore the quality of life, and its predictors among middle-aged and elderly patients with Type 2 Diabetes Mellitus. 131 participants of age 40 or above were recruited from an outpatients department in one medical center in southern Taiwan. The study had a cross-sectional design; each participant was administered structured questionnaires, including the Diabetes Self-Care Behavior Scale, the Social Support Scale and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). The results show that the predictors of patient's quality of life were diabetic self-care behaviors, economic status, and frequency of hospitalization, with a total variance of 21%. These findings can help health professionals to learn more about these patients. Furthermore, a suitable program and nursing interventions could be implemented to promote these patients' quality of life.

1. American Diabetes Association(2007).Standards of medical care in diabetes-2007.Diabetes Care,30(1),4-41.
2. American Diabetes Association(2007).Diagnosis and classification of diabetes mellitus.Diabetes Care,30(1),42-47.
3. Anderson, R. J.,Freedland, K. E.,Clousec, R. E.,Lustman, P. J.(2001).The prevalence of comorbid depression in adults with diabetes.Diabetes Care,24(6),1069-1078.
4. Chen, H. M.(1992).Taipei, Taiwan, ROC,National Defense Medical Center.
5. Health and national health insurance annual statistic information service
6. Huang, L. H.(1992).A causal model of life satisfaction among the elderly.The Journal of Nursing,39(4),37-47.
7. King, H.,Aubert, R. E.,Herman, W. H.(1998).Global burden of diabetes, 1995-2025: Prevalence, numerical estimates, and projections.Diabetes Care,21(9),1414-1431.
8. Lai, M. F.,Liu, C. H.(2003).Evaluation of a social support and empowerment module for diabetes.Journal of Health Education,20,1-28.
9. Lin, T.,Chou, P.,Lai, M. S.,Tsai, S. T.,Tai, T. Y.(2001).Direct cost of illness of patients with diabetes mellitus in Taiwan.Diabetes Research and Clinical Practice,54(1),43-46.
10. Lo, S. Y.(1996).Taipei, Taiwan, ROC,National Yang-Ming University.
11. Pouwer, F.,De Jonge, P.(2005).Depressive symptoms, insulin resistance, and risk of diabetes in women at midlife.Diabetes Care,28(5),1266.
12. Selvin, E.,Marinopoulos, S.,Berkenblit, G.,Rami, T.,Brancati, F. L.,Powe, N. R.(2004).Meta-analysis: Glycosylated hemoglobin and cardiovascular disease in diabetes mellitus.Annals of Internal Medicine,141(6),421-431.
13. Stratton, I. M.,Adler, A. I.,Neil, H. A.,Matthews, D. R.,Manley, S. E.,Cull, C. A.(2000).Association of glycaemia with macrovascular and microvascular complications of Type 2 Diabetes (UKPDS 35): Prospective observational study.British Medical Journal,321(7258),405-412.
14. Vetter, N. J.,Jones, D. A.,Victor, C. R.(1988).The quality of life of the over 70s in the community.Health Visitor,61(1),10-13.
15. Wang, H. L.,Chiang, H. L.,Juang, J. H.,Tsay, P. K.(2005).Quality of life and its related factors in middle-age and elder patients with diabetes mellitus.Chang Gung Nursing,16(4),390-401.
16. Wang, J. S.,Wang, R. H.,Lin, C. C.(1998).Self-care behaviors, self-efficacy, and social support effect on the glycemic control of patients newly diagnosed with non-insulin-dependent diabetes mellitus.The Kaohsiung Journal of Medical Sciences,14(12),807-815.
17. Yao, K. P.(2002).Development and applications of the WHOQOL-Taiwan version.Journal of the Formosan Medical Association,6(3),193-200.

1. Perng, Shoa-Jen,Lai, Chien-Yu,Huang, Chiung-Yu,Chen, Hisu-Fung(2008).The Impact of Learned Resourcefulness on Quality of Life in Type Ⅱ Diabetic Patients: A Cross-Sectional Correlational Study.The Journalof Nursing Research,16(4),264-274.
2. 黃情川、黃一展、陳姿君、林文德、吳菁珍、吳明彥(2009)。台灣版糖尿病生活品質測量工具Diabetes-39的發展與驗證。臺灣公共衛生雜誌，28(3)，218-231。
3. (2024)。第2型糖尿病老年病人衰弱、憂鬱、自我管理與生活品質之相關探討－以參加糖尿病共同照護網長者為例。榮總護理，41(1)，2-14。