Relationships Among Disease Knowledge, Depression, Quality of Life and TCM Syndromes in Patients with Metabolic Syndrome

• Main Authors: LIN, CHIA-CHUN, 林佳君
• Other Authors: WU, SHU-FANG
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/ga5vu3

碩士 === 國立臺北護理健康大學 === 中西醫結合護理研究所 === 106 === The purpose of this study is to investigate the effect of demographic data, disease characteristics, and traditional Chinese medicine (TCM) syndrome type of patients with metabolic syndrome on their disease knowledge, depression, and quality of life. This cross-sectional correlational study used purposive sampling to enroll a total of 161 patients at the outpatient clinic of metabolism in a certain regional teaching hospital in the northern Taiwan as the subjects. The questionnaire collected the data of patients, such as basic demographic data, disease characteristics, metabolic syndrome disease knowledge, depression, quality of life, and TCM syndrome type. This study used statistical methods, such as frequency distribution, percentage, mean, standard deviation, regression equation, and Pearson product-moment correlation to perform analyses. The research results showed that: (1) Results of descriptive statistics: a total of 161 patients were enrolled, with 81 male and 80 female patients. The mean age was 62.66 years old, the mean weight was 78.02 kg, and the mean waist circumference was 99.22 cm. The TCD syndrome type of most of the patients was weak constitution type (38.5%), and the score of disease knowledge was lower (3.34 points; total score 12 points). No patients experienced depression tendency (93.8%). The patients’ quality of life was moderate and above (90.08 points) (total score 140 points). (2) Results of differential analysis: educational background, marital status, employment status, and a history of hypertension, diabetes, and low density lipoprotein (LDL) and high density lipoprotein (HDL) all had a significant effect on disease knowledge (p<0.05); employment status, exercise, and high uric acid all had a significant effect on depression (p<0.05); marital status, exercise, and high uric acid all had a significant effect on quality of life(p<0.05); demographic data, disease characteristics, depression, and quality of life had a significant effect on different TCD syndrome types (p<0.05) (except for yin deficiency constitution). (3) Results of correlational analysis: weight (r=0.16, p<0.05) and total cholesterol (r=0.19, p<0.05) were positively correlated with disease knowledge. Age (r=-0.41, p<0.01) was negatively correlated with disease knowledge. For the results of depression scale (WHO-5), the higher the score is, the higher the well-being is. The depression score (r=0.68, p<0.01) was positively correlated with quality of life. (4) Results of test on mediators: the mediating effect of disease knowledge did not reach statistical significance (z=-0.15, p>0.05), namely, the depression and quality of life of patients with metabolic syndrome could not be further improved through disease knowledge. The depression of patients with metabolic syndrome was correlated with their quality of life. Depression affected physiology and even quality of life. Future care for patients with metabolic syndrome should better understand depression to further prevent patients from developing depression symptoms, as well as to improve their quality of life and provide complete physical, psychological, and spiritual care. Moreover, hopefully, the identification of TCM syndrome type, the understanding of correlation between disease and TCM syndrome type, and the provision of care integrating western medicine with TCM, can reduce depression complication of metabolic syndrome and offer good quality of life.