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Analysis of the Factors Affects the Evaluation of HRQOL in Outpatients with Diabetes Hisako Adachi 1 1Adult and Gerontological Nursing, Nursing Course, School of Medicine, Gifu University Keyword: Time Trade-Off法 , HR QOL , 外来糖尿病患者 , Time Trade-Off Method , HRQOL , diabetic outpatients pp.8-16
Published Date 2008/12/20
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Abstract

 The Time Trade-Off (TTO) Method is one of the generic instruments in the measurement of HRQOL.When diabetic outpatients are divided into 2 groups by the TTO method, evaluation of HRQOL in diabetic outpatients who would wish to trade their remaining life with disease (diabetic state) for a shorter life without disease (Trade-off Group) is lower than that of the patients would not wish to trade (Non Trade-off Group).

 Aims:These aims are to investigate which factors are significantly associated with the high probability of increasing the number of diabetic outpatients that composes Trade-off Group.

 Methods:One hundred and ninety seven diabetic outpatients participated in this study after they signed the informed consent form. The questionnaire and the TTO method were used.

 Results:1) On results of the TTO method, Trade-off Group was composed of 42 patients (37.5%), Non-Trade-off Group was composed of 47 patients (62.5%). 2) On diabetes and the treatment have an negative effect on daily life of diabetic outpatients;The principal-component factor analysis with Varimax rotation was applied to date of 112 patients for 14 items, and 4 factors were separated out. 4 factors were named:loneliness factor from restricted social activities(factor 1), getting worse factor(factor 2), hopeless future factor from physical and psychological troubles in daily life with diabetes(factor 3), and negative feelings factor from severe diet control(factor 4). 3) Results of Logistic regression analysis;Getting worse, having negative feelings from severe diet control and physical symptoms were significantly associated with the high probability of increasing the number of diabetic outpatients that composes Trade-off Group.

 Conclusions:These results clearly show the necessity to provide more supportive care in their physical and psychological fields for Trade-off Group. The next problem would be to investigate the relation between these 3 factors (getting worse, having negative feelings from severe diet control and physical symptoms) and Non-Trade-off Group.


Copyright © 2008, Japan Academy of Nursing Science. All rights reserved.

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電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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