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本研究之目的在於瞭解門診非胰島素依賴型糖尿病患者的健康相關生活品質。研究設計主要是探討非胰島素依賴型糖尿病患者個人屬性、醫療相關變項、疾病特性、不同治療型態等變項與健康狀態、社會心理情緒、病人對醫護人員的滿意度、生活滿意程度、生活一般感覺、主觀生活品質、客觀生活品質及總和生活品質的關係。研究對象取自某醫學中心及某地區醫院新陳代謝科門診病患，利用問卷自填方式搜集得252份有效問卷中207住非胰島素依賴型糖尿病，就所搜集到的資料以百分比、平均值、標準差、單因子變異數分析、相關性分析、多變項迴歸模式分析等方法進行分析處理。研究結果得到以下的結論:
一、糖尿病患者有中上程度的整體生活品質，且各層面生活品質之間彼此互有密切的正相關性。
二、不同治療方式的糖尿病患者其人口學特質、醫療相關變項、疾病特性有顯著的相關。
三、個人屬性之不同，包括年齡、性別、婚姻狀況、每月家庭收入、職業狀況等，在控制了其他變項之後，顯示出與生活品質有顯著相關。
四、醫療相關變項方面，包括有無併發症、併發症多寡、因併發症而動手術、住院次數、是否服用草藥或其他秘方等，在控制了其他變項的影響後，確顯示出其與生活品質有顯著相關。
五、疾病特性方面，包括有由醫師控制血糖程度、自己能控制血糖的程度、是否發生血糖過高(低)反應等，在控制了其他變項的影響後，確顯示出其與生活品質有顯著相關。
六、不同治療方式方面，在控制了其他變項特性後，不同治療型態與社會心理層面有顯著差異。「飲食十胰島素注射控制組」的社會心理層面較「飲食＋口服藥物控制組」好。除此之外，女性顯示較有負向情感發生。
七、控制了其他變項之後，「性別」、「婚姻狀況」、「每月家庭收入」、「因糖尿病而住院與否」、「因併發症而動手術情形」、「服用草藥或其他秘方情形」、「血糖過低反應發生情形」、「認為自己有辦法控制血糖的程度」、「認為有多少程度能由醫師控制血糖」、「血糖控制情形」等都是影響糖尿病患者生活品質之重要因素。
The main purpose of this study was to explore the health-related quality of life in non-insulin-dependent diabetic (NIDDM) patients. The quality of life was measured by method questionnaire and the parameters included physical activities , psychological , satisfaction with doctors and nurses , satisfaction of life , life in general , subject , object domains ; these parameters were scored according to questionnaire . These were compared with disease characteristics , clinical characteristics and demographic variables .
The subjects of the study consisted of 207 non-insulin-dependent diabetic outpatients from one medical center and one local hospital. They were recovered 252, recovery rate 46% . The major findings of this study are as follows :
1. The NIDDM outpatients perceived themselves as having above median quality of life. A significant correlation was found among various parameters of quality of life (Pearson''s correlation, P<0.001).
2. Different treatment regimens (oral hypoglycemic agents vs. insulin) were significantly associated with demographic, clinical, and disease characteristics.
3. Some demographic characteristics were associated with parameters of quality of life, these included: age, gender, marital status, income, and occupational status.
4. Some clinical characteristics were associated with parameters of quality of life, these included: having diabetic complication, number of diabetic complications, surgical operation for diabetic complications, number of admission, and taking of herb medicine.
5. Some disease characteristics were associated with parameters of quality of life, these included: levels of glucose control by doctor, levels of glucose control by self, and signs or symptoms of hyperglycemia or hypoglycemia during the preceding month.
6. Treatment modes affected quality of life primarily in the psychological domain. Those with insulin regimen reported better quality than those with oral hypoglycemic agents. In addition, females reported more negative impacts of NIDDM than males. (multiple regression analysis, P<0.05).
7. In summary , the quality of life in NIDDM patients correlated with gender, marital status, income, admission with diabetes, surgical operation with diabetic complications, use of herb medicine, signs or symptoms of hypoglycemia during the preceding month, levels of glucose control by self, levels of glucose control by doctor.
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