糖尿病患疾病特徴與生活品質相關因素之探討－台灣中部某區域醫院之報告

Related Factors of Diabetes Mellitus Disease Features and Quality of Life-The Report of a Regional Teaching Hospital in Central Taiwan

王雪鳳(Hsueh-Feng Wang) ； 唐婉如(Woung-Ru Tang) ； 劉雪娥(Hsueh-Erh Liu) ； 曾士婷(Shih-Ting Tseng) ； 陳宇嘉(Yu-Chia Chen) ； 劉麗芳(Li-Fang Liu)

《中華民國內分泌暨糖尿病學會會刊》 21卷3期 (2008/04) Pp. 1-15

https://doi.org/10.7101/ED.200804.0001

摘要

目的：本研究目的在探討第2型糖尿病患者疾病特徵與生活品質相關因素。
材料與方法：採結構式問卷爲研究工具，以中部某區域教學醫院之門珍病人爲研究對象，採立意性取樣，有效問卷177份，研究資料以單因子變異數分析、獨化t檢定與複迥歸模式分析。
結果：研究結果發現：1．年齡介於50-59歲者的「心理健康」及「環境」生活品質較其他年齡層高；2．糖尿病患者以口服降血糖藥物治療者的「心理健康」及「環境」生活品質比以其他治療方式者佳。3糖尿病患者之足部單股尼龍纖維狀態與生活品質達顯著關係；4．以巢式迥歸分析(nested regression analysis)顯示：足部單股尼龍纖維檢查不正常、兩者併用治療方式其生活品質愈差；年齡爲40-49族群、職業爲軍公教與退休者其生活品質較差；教育程度愈高生活品質愈好。
結論：各自變項對於生活品質之迥歸解釋力爲29.4%。此外，本研究進一步分析基本屬性、疾病特徵數與生活品質，結果形成四種解釋類型，從不同年齡別及足部單股尼龍纖維檢查來看，形成「倒U型」、「平緩下降型」、[快速下降型」、「U型」等。表不生活品質會因不同年齡階段及足部單股尼龍纖維檢查狀況而有不變化。

關鍵字

糖尿病 ； 單股尼龍纖維5.07號 ； 生活品質

並列摘要

Objective: The purpose of this research is to explore the related factors of type II diabetic patient disease features and quality of life.
Materials and Methods: It adopted structured questionnaire as the research tool, took the outpatients of a regional teaching hospital in Central Taiwan as the research subjects, adopted the purposeful sampling, and obtained 177 copies of effective questionnaire to be analyzed by One-Way ANOVA, independent t test, and multiple regression analysis.
Results: The research findings are as follows: I. The quality of life of people of 50-59 years old is higher than those of other age groups on ”mental health” and ”environment.” 2. On ”mental health” and ”environment,” the quality of life of diabetic patients treated with oral hypoglycemic agent is better than those treated with other therapies 3. There is an obvious relationship between the diabetic patients' foot conditions tested with Semmes-Weinstein's n Ion monofilament and the quality of life. 4. the nested regression analysis showed that the one that has abnormal check result of Semmes-Weinstein’s nylon monofilament at the foot, and is treated with the combination of two therapies (oral hypoglycemic agent and injection) has inferior quality of life; the soldiers; in the age group of 40-49 years old public servants, teachers, and retired people have inferior quality of life; the higher was the education degree, the better was the quality of life.
Conclusion: In short, each independent variable's explanation strength for the quality of life is 29.40%. Moreover, the research analyzed the basic attributes, the disease features, and the quality of life further; the result was the formation of four explanatory categories; to see from different ages and the check of Semmes-Weinstein's nylon monofilament at the foot, there are ”the reverse U type,” ”the gradual descending type,” ”the rapid descending type,” and ”the U type,” showing the quality of life can have varied changes because of different age stages and the check condition of Semmes-Weinstein's nylon monofilament at the foot.

並列關鍵字

Diabetes ； Semmes-Weinstein's nylon monofilament No. 5.07 ； quality of life