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A Study of Influence Factors of T2DM Patients' Quality of Life in Level Three Hospital

Author: Wang
Tutor: GuoJiZhi
School: Weifang Medical College
Course: Social Medicine and Health Management
Keywords: Type2Diabetes Quality of Life Self-efficacy Social Capital Social Support
CLC: R587.1
Type: Master's thesis
Year: 2012
Downloads: 40
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Abstract


Objective: According to the literature on type2diabetes (referred to as T2DM)patients’ quality of life and its influence factors, and combination with the actualsituation of this area, to make influence factors questionnaire and select the scale ofquality of life, explore the influence factors about T2DM patients’ living situationand quality of life, and find the evidence of influence factors for T2DM patients’quality of life, in order to formulate specific features and intervention measures andimprove the T2DM patients’ quality of life.Methods:1Methods of collect data:(1) Method of literature: access to paper and electronic literature about T2DMpatients’ quality of life at home and abroad in recent years, to evaluate the quality ofliterature, in order to provide the theory basis for preliminary draft questionnaire onT2DM patients’ quality of life.(2) Questionnaire investigation method: Choosing life quality evaluation questio-nnaire. In order to design the questionnaire on T2DM patients’ quality of life, weinvited some experts about social medical, psychological, endocrinology and publichealth relevant authoritative experts to discussion. The comprehensive surveyquestionnaire including adjusted diabetes-specific quality of life scale(A-DQOL),social support self rating scale, homemade influence factor questionnaire.Homemade scale including sociology of population factors, psychological factorsand values, disease related factors and lifestyle factors. 2Sampling method:The subjects screened by some into and exclusion standard were people’shospital and medical school affiliated hospital’s T2DM patients during the surveyperiod(May to September,2011). Distribution of302questionnaires and285werereceived, the effective rate was94.37%.3Analysis method:Using statistical software SPSS13.0to survey the data entry, methods ofdescriptive statistics analysis, stepwise regression analysis, single factor chi-squareanalysis and Logistic regression analysis were used to statistical analysis.4Quality control:A strict level3quality control was uesed in the process of questionnaire, andscreening of the questionnaire again before entry to eliminate the unqualifiedquestionnaire timely.Results:1After several rounds of consultation and many times questionnairemodifications, eventually formed a questionnaire formed by influence factorsquestionnaire about T2DM patients’ quality of life, social support self rating scaleand A-DQOL scale.2According to the survey, we found the average course of disease waslong(8.64±7.28years), and most of patients had several complications, it maybebecause the patients were most of critically ill patients in level3hospital. Thesituation of health education was bad, there were only55.1%patients had receivedhealth education,43.2%patients known the typical symptoms, and62.8%patientsknown the normal blood sugar.3Single factor chi-square analysis found that the factors had statisticalsignificance expect sex, whether had pressure and body mass index. Logisticregression eventually screend six factors: mentality, after eating blood sugar,currently complications, confident, eating habits and the social support. Mentalityand confident are the important index for self-efficacy, eating habits and self-efficacy,and other aspects of the psychological health status remained to be improved. 4Stepwise regression analysis about social support self rating scale andA-DQOL scale found several factors had obvious function to T2DM patients’ qualityof life, such as from family members have less social support(care less, husband andwife affection is inharmonious), can not get comfort form leaders and collegueswhen in difficulty, less communication with colleagues. The utilization rate of socialcapital remained to be further improved.5To analysis the interaction we found, the interaction about age of diease andcomplications was statistically significant.Conclusions: The study found:In patients were investigated, the average courseof diease was long, complications were many, awareness rate about diease was low,eating habits and self-efficacy status were not ideal. General condition of socialsupport was good, but the utilization ratio remained to be further improved. theinteraction about course of diease and complications had obvious influence to T2DM.Medical personnel will be able to improve the T2DM patients’ quality of life fromthe above aspects.

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CLC: > Medicine, health > Internal Medicine > Endocrine diseases and metabolic diseases > Islet disease > Diabetes
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