外来通院中の糖尿病患者のHRQOLに与える健康評価の影響

The Effects of Health Evaluation to HRQOL in Diabetic Outpatients

要旨

　外来に通院中の糖尿病患者85名にTime Trade-Off法を施行し，糖尿病患者を健康状態の評価により高・中・低評価群の3群に分け，この3群間にSF-36によるHealth-Realted Quality of Life(HRQOL)の評価に相違があるのか，さらに無病気群84名と比較検討した．その結果，1)日常生活役割機能(身体)と体の痛みを除く6尺度の平均得点は，糖尿病患者の高評価群よりも低評価群に有意に低かった(p＜.05)．2)全体的健康感の平均得点は，無病気群よりも糖尿病患者の高評価群に有意に低かった(p＜.01)が，活力と日常生活役割機能(精神)の平均得点は，有意に高かった(p＜.05)．3)体の痛みを除く7尺度の平均得点は，無病気群よりも糖尿病患者の低評価群に有意に低かった(p＜.05)．これらの結果は，糖尿病患者の低評価群に身体的・精神的な援助の必要性を示唆した．しかし，糖尿病患者の高評価群の活力と日常生活役割機能(精神)の平均得点が，なぜ無病気群よりも高くなったのか，検討しなければならない課題とされた．

Abstract

　Aims：This study aimed to examine the effects of health evaluation to Health-Related Quality of Life(HRQOL) in diabetic outpatients by using SF-36. Diabetics were compared with no disease people.

　Methods：The Time Trade-Off method and the SF-36questionnaire(Japanese ver. 1.2)were used. Eighty five outpatients with diabetics participated in this study after giving written informed consent. Then they were divided into three groups (diabetic-high health evaluation G., middle health evaluation G., and low health evaluation G.)by the range of time trade off value. Eighty four persons with no disease (no disease G.)also participated in this study.

　Results：a)Mean scores of six subscales without role physical functioning and bodily pain were significantly lower in diabetic-low health evaluation G. in comparison with those in diabetic-high health evaluation G. (p＜.05). b)Mean score of the general health subscale in diabetic-high health evaluation G.were significantly lower than those in no disease G. (p＜.01), but mean scores of vitality and role emotional functioning health subscale in diabetic-high health evaluation G. were significantly higher than those in no disease G. (p＜.05). c)Mean scores of seven subscales without bodily pain were significantly lower in diabetic-low health evaluation G. in comparison with those in no disease G. (p＜.05).

　Conclusions：These results show that it is clearly necessary to provide more supportive physical and mental care for diabetic-low health evaluation G. It is the next problem why mean scores in diabetic-high health evaluation G. were significantly higher than those in no disease G. on vitality and role emotional functioning health subscale of SF-36(p＜.05).