| Summary: | 碩士 === 國立臺灣大學 === 預防醫學研究所 === 95 === Objective: To assess the factors associated with health-related quality of life (HRQL) among patients with diabetes mellitus in Taiwan.
Methods: This is a cross-sectional observational study comprising 205 adult patients with diabetes (mean age of 62±13 years) cared at clinics of family medicine, general internal medicine and endocrinology of National Taiwan University Hospital. Participants were interviewed using the Chinese-version Diabetes Quality of Life (DQOL) questionnaire to assess the three dimensions of HRQL (i.e. satisfaction, impact and worry) and the total score. All the scores were transformed into 0-100 scales with a higher score representing a better HRQL. Multiple regression analysis was used to examine the factors associated with the three dimensions and the total DQOL score.
Results: Patients in this study reported similar total DQOL scores but lower scores in Satisfaction dimension, and higher scores in the two other dimensions than previous studies. In the multiple linear regression analysis, age and being married were positively associated, while having micro-vascular complications and the level of HbA1c were negatively associated with total score of DQOL. As for the three dimensions of the HRQL; having regular physical activity was positively associated, while level of HbA1c was negatively associated with the score of Satisfaction; age and being cared at endocrine special clinic was positively associated, while insulin injection and the level of HbA1c were negatively associated with the score of Impact and education level and the level of HbA1c were negatively associated with the score of Worry.
Conclusions: The level of HbA1c was associated both with the total and the scores of entire three dimensions, while age, marital status, complications, education level, insulin injection and physical activity affected only some of the scores.
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