接受專科或非專科醫師照護之第二型糖尿病患之生活品質比較

Quality of Life in Type 2 Diabetes Patients Cared by Specialists or Generalists

李俐慧(Li-Hui Li) ； 季瑋珠(Wei-Chu Chie)

《台灣醫學》 13卷6期 (2009/11) Pp. 575-583

https://doi.org/10.6320/FJM.2009.13(6).04

摘要

The aim of this study was to compare the difference of quality of life (QOL) between patients with type 2 diabetes cared by specialists or generalists. In this cross-sectional study, the Diabetes Quality of Life scale (DQOL) was used in Taiwanese patients who recruited from a medical center from July 2006 to September 2006. In this 202 sample, respondents ranged in age from 18 to 93 years, and there were slightly more female (53%) than males (47%), little more patients from specialists (54%) than generalists (46%). In total QOL status, there was indifferent in patients from specialists or generalists (P=0.23). However, in impact domain, QOL of patients from specialists was lower than another group (P=0.028). Besides, the checks of high-density lipoprotein cholesterol (HDL-C), high-density lipoprotein cholesterol (LDL-C), and diabetes-related complications screenings in patients from specialists were more accurate than another group (P＜0.05). After adjustments of confounding factors, patients with checked neuropathy screening certainly had lower impact scores. And patients with higher HbA1c level, checked peripheral vascular screening, showed more impact on QOL. Findings provided the distinction in care quality of life from specialists or generalists and a statistical difference in impact domain of QOL, the degree of impact in patients of specialists was lower than patients who cared by generalists.

關鍵字

糖尿病 ； DQOL ； 新陳代謝專科

並列摘要

The aim of this study was to compare the difference of quality of life (QOL) between patients with type 2 diabetes cared by specialists or generalists. In this cross-sectional study, the Diabetes Quality of Life scale (DQOL) was used in Taiwanese patients who recruited from a medical center from July 2006 to September 2006. In this 202 sample, respondents ranged in age from 18 to 93 years, and there were slightly more female (53%) than males (47%), little more patients from specialists (54%) than generalists (46%). In total QOL status, there was indifferent in patients from specialists or generalists (P=0.23). However, in impact domain, QOL of patients from specialists was lower than another group (P=0.028). Besides, the checks of high-density lipoprotein cholesterol (HDL-C), high-density lipoprotein cholesterol (LDL-C), and diabetes-related complications screenings in patients from specialists were more accurate than another group (P＜0.05). After adjustments of confounding factors, patients with checked neuropathy screening certainly had lower impact scores. And patients with higher HbA1c level, checked peripheral vascular screening, showed more impact on QOL. Findings provided the distinction in care quality of life from specialists or generalists and a statistical difference in impact domain of QOL, the degree of impact in patients of specialists was lower than patients who cared by generalists.

並列關鍵字

diabetes ； diabetes quality of life ； specialist