Comparative Study on HbA1C, Self-care Behavior, and Quality of Life by Depression Status in Type II Diabetic Patients.
- Author:
Youngmin JEONG
1
;
Miyoung KIM
Author Information
1. Major in Clinical Nursing, The Graduate School of Clinical Health Sciences, Ewha Womans University, Korea.
- Publication Type:Comparative Study ; Original Article
- Keywords:
Depression;
Diabetes mellitus;
HbA1C;
Quality of life;
Self care
- MeSH:
Depression;
Diabetes Mellitus;
Hemoglobins;
Humans;
Medical Records;
Quality of Life;
Surveys and Questionnaires;
Self Care
- From:Journal of Korean Academy of Fundamental Nursing
2012;19(3):353-362
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The objective of this study was to examine the correlation between HbA1C, self-care behavior, and quality of life among depressed and non-depressed patients with type II diabetes. METHODS: Data were collected between May 26 and July 5, 2011 using a questionnaire. The questionnaire included depression (CES-D), self-care behavior and quality of life. Hemoglobin A1C was abstracted from medical records. Data were analyzed by descriptive statistics, t-test, chi2-test, ANCOVA and Pearson's correlation coefficient. RESULTS: In this study sample (n=301), 20.9% of diabetic patients (n=69) were depressed. After adjustment for relevant covariates, depressed patients showed to have lower self-care behavior (2.8 vs 3.4, p<.001) and quality of life (2.8 vs 3.5, p<.001) scores, but the difference in HbA1C was no longer significant. CONCLUSION: This study suggests that the assessment and intervention for depressed diabetic patients can result in effective self-care behavior, which accordingly leads to improvement of the quality of life.