AIMS: To construct a path model about relationships of perceptions of empowerment, diabetes distress, self-care behaviour and glycemic control to health-related quality of life in Taiwanese Type 2 diabetic patients, suffering from diabetes for 10 years or less. BACKGROUND: Health-related quality of life is the primary end point for people with diabetes. Understanding the path model of health-related quality of life in Type 2 diabetic patients is useful for nurses to design early intervention programmes. METHODS: This was a cross-sectional study. An anonymous questionnaire was used to collect data from 2007 to 2008. Glycosylated haemoglobin (HbA1c) was also collected. Data from 428 Type 2 diabetic patients were analysed with structural equation modelling to test the fit of the hypothesized path model to the data. RESULTS: A model was produced in which self-care behaviour had a statistically significantly direct influence on satisfaction, impact and worry aspects of health-related quality of life. Glycosylated haemoglobin had a statistically significantly negative influence on satisfaction, and impact aspects of health-related quality of life. Perceptions of empowerment had a statistically significantly direct influence on satisfaction aspect of health-related quality of life. Diabetes distress had a statistically significantly direct influence on satisfaction, impact and worry aspects of health-related quality of life. CONCLUSIONS: Nurses should develop new approaches to improve various aspects of health-related quality of life. Nurses could empower patients to improve satisfaction aspect of health-related quality of life. To improve the impact and worry aspects of health-related quality of life, nurses should reduce diabetes distress felt by patients.
AIMS: To construct a path model about relationships of perceptions of empowerment, diabetes distress, self-care behaviour and glycemic control to health-related quality of life in Taiwanese Type 2 diabeticpatients, suffering from diabetes for 10 years or less. BACKGROUND: Health-related quality of life is the primary end point for people with diabetes. Understanding the path model of health-related quality of life in Type 2 diabeticpatients is useful for nurses to design early intervention programmes. METHODS: This was a cross-sectional study. An anonymous questionnaire was used to collect data from 2007 to 2008. Glycosylated haemoglobin (HbA1c) was also collected. Data from 428 Type 2 diabeticpatients were analysed with structural equation modelling to test the fit of the hypothesized path model to the data. RESULTS: A model was produced in which self-care behaviour had a statistically significantly direct influence on satisfaction, impact and worry aspects of health-related quality of life. Glycosylated haemoglobin had a statistically significantly negative influence on satisfaction, and impact aspects of health-related quality of life. Perceptions of empowerment had a statistically significantly direct influence on satisfaction aspect of health-related quality of life. Diabetes distress had a statistically significantly direct influence on satisfaction, impact and worry aspects of health-related quality of life. CONCLUSIONS: Nurses should develop new approaches to improve various aspects of health-related quality of life. Nurses could empower patients to improve satisfaction aspect of health-related quality of life. To improve the impact and worry aspects of health-related quality of life, nurses should reduce diabetes distress felt by patients.
Authors: Jugal Dalal; Joni S Williams; Rebekah J Walker; Jennifer A Campbell; Kimberly S Davis; Leonard E Egede Journal: Diabetes Educ Date: 2020-08 Impact factor: 2.140
Authors: Eun-Hyun Lee; Young Whee Lee; Kwan-Woo Lee; Yong Seong Kim; Moon-Suk Nam Journal: Health Qual Life Outcomes Date: 2014-10-29 Impact factor: 3.186
Authors: Ann Tak Ying Shiu; Kai Chow Choi; Diana Tze Fan Lee; Doris Sau Fung Yu; Wai Man Ng Journal: J Diabetes Investig Date: 2014-02-11 Impact factor: 4.232