本研究的目的,在於瞭解第二型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,並進一步探討病患生活品質及其影響因素。採橫斷式調查研究法,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患131名,以立意取樣,結構式問卷包括基本資料(人口學特性、疾病相關特性)、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。採用描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森相關積差和逐步複迴歸進行資料分析。研究結果發現第二型糖尿病患:1.生活品質平均得分為53.93分,屬中上程度。2.經濟狀況、住院次數和治療方式分別與生活品質有統計上的顯著差異。3.自我照顧行為與社會支持與生活品質呈現顯著正相關。4.生活品質預測因素為自我照顧行為、經濟(平均月收入≧5萬)和住院次數(≧2次),總解釋變異數為21%。期望本研究結果能夠提供相關醫護人員瞭解第二型糖尿病患生活品質之現況,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 related factors among Type 2 Diabetes Mellitus patients. The 131 participants with age 40 or above were recruited from outpatient department in one medical center in southern Taiwan. With a cross-sectional design, each participant was surveyed by structural questionnaires, including demographic characteristics, Diabetes Self-Care Behavior Scale, Social Support Scale and WHOQOL-BREF. Data were analyzed by t-test, one-way ANOVA, Pearson correlation and stepwise multiple regression. The results showed that:1. The average score for the patient’s quality of life was 53.93, above the middle ranking. 2. There were significant differences between patient’s quality of life and the economic status, the frequency of hospitalization, and the treatment status, respectively. 3. The diabetes self-care Behavior and social support, respectively, were positively correlated with quality of life. 4. The predictors of patient’s quality of life were the diabetes Self-Care Behavior, the economic status and the frequency of hospitalization with a total variance of 21%. These findings could provide 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.