| Summary: | 碩士 === 慈濟大學 === 護理學研究所 === 89 === Abstract The purpose of this study was to explore the health related quality of life in Type 1 diabetic patients. One hundred one Type 1 diabetic patients diagnosed by endocrinologists, qualified as being literate, able to communicate in Mandarin and Taiwanese and over 13 years old were recruited. The data was collected by means of structural questionnaires, which includes four sections: demographic data, symptoms, importance and satisfaction of treatment goals, and quality of life. Five clinical professionals were invited to evaluate the validity of questionnaires. The reality was according to the Cronbach’s. The findings were as the followings: (1) The α coefficient ranged from 0.75 to 0.95 made the result a credible one. Five clinical professionals all positived the validity (2) The mean score of entire quality of life was 163.36 (SD=8.00), indicating medium quality of life. The results in order of percentage were disease-related physicality, social relations, recreations, daily life, disease-related psychology, and diet. (3) The mean score of importance of treatment goals was 51.67 (SD=4.92) and the mean score of satisfaction of treatment goals was 39.24 (SD=4.92), indicating the very importance of treatment goals and fair satisfaction. (4) The significant variables of quality of life and other dimentions were gender, diabetic foot, neurologic symptoms, HbA1C, frequency of insulin injection, frequency of testing blood sugar and age. (5) The predicted factors of quality of life were gender, age, importance and satisfaction of treatment goals. The factors explain 31.56﹪variation of quality of life ; The predicted factors of disease-related physical quality of life were age, neurologic symptoms, importance and satisfaction of treatment goals. The factors explain 58.44% variation of disease-related physical quality of life; The predicted factors of social relations quality of life were neurologic symptoms, age of onset. The factors explain 50.35% variation of quality of life; The predicted factor of disease-related psychological quality of life was age. The factor explain 4.54﹪variation of disease-related psychological quality of life. The predicted factors of daily life quality of life were frequency of blood sugar testing, HbA1C. The factors explain 28.61% variation of daily life quality of life. The predicted factor of diet quality of life was diabetic foot. The factor explains 10.03﹪variation of diet quality of life. These findings facilitate us to make policies in nursing Type 1 diabetic patients and also provide solid suggestions for nursing practices, education, and future researches. Key words：Type 1 diabetes mellitus, quality of life, symptoms, importance of treatment goals, satisfaction of treatment goals.
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