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KMID : 0388320120190030353
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Journal of Korean Academy of Fundamental Nursing
2012 Volume.19 No. 3 p.353 ~ p.362
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Comparative Study on HbA1C, Self-care Behavior, and Quality of Life by Depression Status in Type II Diabetic Patients
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Jeong Young-Min
Kim Mi-Young
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Abstract
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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, x2-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.
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KEYWORD
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Depression, Diabetes mellitus, HbA1C, Quality of life, Self care
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