| Summary: | 碩士 === 高雄醫學大學 === 護理學研究所 === 96 === The purposes of the research are to (1) explore emotional distress, empowerment perception, self-care behavior and quality of life in patients with type 2 diabetes; (2) investigate the relations of demographic data, disease characteristics, emotional distress, empowerment perception, and self-care behavior to quality of life in patients with type 2 diabetes; and (3) identify the important explanatory factors of quality of life in patients with type 2 diabetes.
This is a cross-sectional, correlated and descriptive research design. The participants of this study are patients who have been suffering from type 2 diabetes within ten years. With purposive sampling, participants were collected from one medical center and two regional teaching hospitals after consent forms were obtained. A total of 220 questionnaires were collected. In this study, a constructed questionnaire was established with relevant scales, including questions on demographic data, disease characteristics, emotional distress, empowerment perception, self-care behavior and quality of life. The quality of life scale measured three domains of the quality of life: satisfaction, impact, and worried about the diabetes. The reliability and validity of the questionnaire were evaluated for internal consistency, test-retest reliability, surface validity and content validity. Data analysis was performed by using percentage, mean, standard deviation, independent t-test, one-way ANOVA, Pearson’s correlation, and stepwise multiple regression analysis.
The results were: (1) the score index of quality of life was 79.6, considered as a moderate to high level; (2) patients with different educational level, age, diabetes share care disease management participation and insulin therapy showed a significant difference in quality of life; (3) the score index of emotional distress was 36, considered as a relatively low level. The more severe emotional distress is, the worse quality of life in every domain is; (4) the score index of empowerment perception was 76.8, considered as a relatively moderate to high level. The better empowerment perception is, the better the satisfaction domain of quality of life is; (5) the score index of self-care behavior was 68.8, considered as a moderate to high level. The better self care behavior is, the better the satisfaction domain of quality of life is; moreover, the better dietary, exercise, management of abnormal blood sugar level and foot care is, the better the satisfaction domain of quality of life is. However, the better self care behavior in medication-taking and blood sugar monitoring is, the worse the anxiety domain of quality of life is; moreover, the better the foot self-care behavior is, the worse the impact and anxiety domains of quality of life is; (6) emotional distress was the most important explanatory factor for the total and each domains of quality of life and accounted for 28.7%-53.8% of the total amount of variance.
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