糖尿病患憂鬱程度與健康促進生活型態之關係研究

Study the Relationships between Depression and Health Promotion Lifestyle in Adults with Diabetes

李佩樺(Pei-hua Lee)

指導教授 ： 葉季森

中臺科技大學/管理學院/健康產業管理研究所/碩士(2010年)

摘要

背景與目的：糖尿病患在罹病後，不僅對身體層面造成影響，心理層面亦產生低落情緒及負面想法，長時間累積下，容易造成憂鬱等負面情緒，進而影響生活型態。本研究旨在瞭解糖尿病患憂鬱程度對健康促進生活型態之影響。
　　方法：在某教學醫院糖尿病門診及安養機構，以188名糖尿病患為研究對象，進行面對面結構式問卷調查。研究工具含：魏米秀「健康促進生活型態簡式量表(24題)」、鄭泰安流行病學研究中心憂鬱量表(CES-D)之中文版量表、社會人口學資料、糖尿病資料。
　　結果：研究對象以第二型糖尿病居多(96.3%)，平均年齡64.32歲，患有憂鬱者佔57.98%，憂鬱程度平均得分為18.68分(SD=10.39)，安養中心糖尿病患之憂鬱程度顯著高於非安養中心。憂鬱程度與自我實現、健康責任、運動、營養、人際支持、壓力管理等健康促進生活型態之間皆呈現顯著負相關。經逐步複迴歸分析發現，「居住狀況」、「教育程度」、「憂鬱總分」、「經濟狀況」是影響糖尿病患健康促進生活型態的重要因子，可解釋研究對象健康促進生活型態總變異量的48.4％。
　　結論：近六成糖尿病患有憂鬱現象，憂鬱程度愈高，健康促進生活型態愈不佳。在安養機構此現象更為明顯。建議可從自我實現、健康責任、運動、營養、人際支持、壓力管理等健康議題，增進自我照顧能力，以改善糖尿病患之憂鬱程度。

關鍵字

健康促進生活型態 ； 糖尿病 ； 憂鬱程度

並列摘要

Background and purpose: With the sickness of diabetes, patients are likely to have low emotions and negative thoughts mentally, in spite of the physical effects. After a period of time, negative emotions like depression can easily be resulted and further affected the life styles. This study aimed to understand the impact of depression resulted from the diabetic patients on the life styles enhanced by health.
　　Methods: With 188 diabetic patients in the diabetes out-patient of an instructional hospital and in a health-care institute as the subjects, questionnaire surveys with face-to-face structure were preceded. The research tools included 24 questions in Health Promotion Lifestyle Profile-Short Form (HPLP-S) of Wei, the Chinese scale of the Center for Epidemiological Studies-Depression Scale (CES-D) of Cheng, and the demography data and diabetes data.
　　Results: The subjects, with the average age of 64.32 years, were mostly of diabetes Type II (96.3%). 57.98% of them were suffering from depression with the average score of 18.68 (SD=10.39). Besides, the depression of diabetic patients in the health-care center was significantly higher than those in non-health-care centers. The correlations between depression and the health promotion lifestyle of self-fulfillment, health responsibility, exercises, nutrition, interpersonal support, and pressure management present negative. With the analyses of multiple regressions, “living condition”, “education background”, “depression score”, and “financial status” were the factors of health promotion lifestyle for diabetic patients, showing 48.4% of the total measure of variation in health promotion lifestyle of the subjects.
　　Conclusion: There were about 60% of diabetic patients with depression, that the higher the depression was, the worse the health promotion lifestyle became. The situation appeared more apparently in health-care institutes. It is suggested to enhance self-caring abilities from the issues of self-fulfillment, health responsibility, exercises, nutrition, interpersonal support, and pressure management, in order to improve the depression in diabetic patients

並列關鍵字

depression ； diabetes ； health promotion lifestyle

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