Relationship between Type 2 Diabetes Self-Efficacy and Quality of Life: Analysis Under Varying Glycated Hemoglobin Conditions

H. Wang, Y. Chen, Fengzhi Yang, C. Juan
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引用次数: 6

Abstract

Purpose: To investigate the correlation between self-efficacy and quality of life (QoL) in patients with diabetes under varying glycated hemoglobin (HbA1c) conditions. Methods: The 177 outpatients with Type 2 diabetes were included in this study at a regional teaching hospital in central Taiwan. We reviewed the results of the patients’ HbA1c test results from the preceding 3 months and recorded these data. HbA1c levels were divided into three control groups: good, moderate, and poor. In multiple regression analysis, the relationship between overall self-efficacy and QoL, then stepwise added HbA1c and demographic variables. Results: This study revealed a strong relationship between self-efficacy and QoL. In comparison to the overall sample (referred to as the baseline group), the relationship between self-efficacy and QoL was significant. In the good control group, the relationship between self-efficacy and QoL intensified. However, the correlation between the two in the moderate control group weakened, and the correlation between the two in the poor control group was the lowest. Therefore, as HbA1c levels increased, the correlation between selfefficacy and QoL weakened and tended to decline steadily. In addition, the relationship between the self-efficacy dimensions of medication control, foot care, and QoL intensified in the poor control group. However, regression analysis showed that the partial regression influence of HbA1c on mental QoL and environmental QoL was not significant. Conclusions: Self-efficacy and QoL were significantly correlated under various HbA1c conditions. Therefore, improving self-efficacy to achieve appropriate blood glucose control can help increase the QoL of patients with Type 2 diabetes.
2型糖尿病自我效能感与生活质量的关系:不同糖化血红蛋白条件下的分析
目的:探讨不同糖化血红蛋白(HbA1c)水平下糖尿病患者自我效能感与生活质量(QoL)的相关性。方法:选取中部某地区教学医院177例2型糖尿病门诊患者为研究对象。我们回顾了患者前3个月的HbA1c检测结果并记录了这些数据。HbA1c水平分为三个对照组:良好、中等和较差。在多元回归分析中,综合自我效能感与生活质量的关系,然后逐步加入HbA1c和人口学变量。结果:本研究发现自我效能感与生活质量之间存在较强的关系。与整体样本(称为基线组)相比,自我效能感与生活质量之间的关系显着。在良好对照组,自我效能感与生活质量的关系增强。但在中度对照组,两者的相关性减弱,在较差对照组,两者的相关性最低。因此,随着HbA1c水平的升高,自我效能感与生活质量的相关性减弱,并呈稳步下降的趋势。此外,对照组用药控制、足部护理自我效能感维度与生活质量之间的关系在对照组中增强。但回归分析显示,HbA1c对精神生活质量和环境生活质量的部分回归影响不显著。结论:不同HbA1c条件下自我效能感与生活质量显著相关。因此,提高自我效能感,实现适当的血糖控制,有助于提高2型糖尿病患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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