糖尿病患疾病特徵與生活品質相關因素之探討--臺灣中部某區域醫院之報告

目的：本研究目的在探討第2 型??病患者疾病特徵與生活品質相關因素。 材?與方法： 採結構式問卷為研究工具，以中部某區域教學醫院之門診病人為研究對象，採?意性取樣，有效問卷177 份，研究資?以單因子變??分析、獨?t 檢定與複迴歸模式分析。 結果：研究結果發現：1.?齡介於50-59 歲者的「心?健康」及「環境」生活品質較其他?齡層高；2.??病患者以口服?血?藥物治?者的「心?健康」及「環境」生活品質比以其他治?方式者佳；3.??病患者之足部單股尼?纖維?態與生活品質達顯著關係；4.以巢式迴歸分析（nested regression analysis）顯示：足部單股尼?纖維檢查?正常、?者併用治?方式其生活品質愈差；?齡為40-49 族群、職業為軍公教與退休者其生活品質較差；教育程?愈高生活品質則愈好。 結?：各自變項對於生活品質之迴歸解釋?為29.4%。此外，本研究進一步分析基本屬性、疾病特徵與生活品質，結果形成四種解釋?型，從?同?齡別及足部單股尼?纖維檢查?看，形成「倒U 型」、「平緩下?型」、「快速下?型」、「U 型」等。表示生活品質會因?同?齡階段及足部單股尼?纖維檢查?況而有?同變化。
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: 1. 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 nylon 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 29.4%. 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.