Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL.
Diabetes Educ. 2018 Dec;44(6):501-509. doi: 10.1177/0145721718808733. Epub 2018 Oct 20.
The purpose of this study is to examine in young adults (18-35 years) with type 1 diabetes (T1DM) factors known to be associated with quality of life: fear of complications (including hypoglycemia), self-efficacy for diabetes self-management, and self-management of diabetes.
Participants ( N = 180) completed online a Demographic/General Health Survey, Diabetes Quality of Life Measure, Hypoglycemia Fear Scale, Fear of Complications Questionnaire, Diabetes Behavior Rating Scale, Self-Efficacy for Diabetes Self-Management, and Diabetes Knowledge Test.
Multiple linear regression showed that quality of life was significantly associated with fear of hypoglycemia, fear of complications, and self-efficacy. Quality of life was not associated with either diabetes self-management behaviors or diabetes knowledge.
Although participants demonstrated appropriate self-management behaviors and moderate self-efficacy, on the Diabetes Quality of Life Instrument, they reported high dissatisfaction with the burden that diabetes places on their families and the amount of time it takes to manage their diabetes. Quality of life was significantly positively correlated with fear of hypoglycemia and fear of complications. Quality of life was significantly negatively correlated with self-efficacy. These observations suggest that, as fear of hypoglycemia and fear of complications increase, quality of life decreases, and as self-efficacy increases, so does quality of life. Thus, fear of hypoglycemia, fear of complications, and self-efficacy may be appropriate primary outcomes to use in interventions designed to improve quality of life in young adults with T1DM. Findings from this study extend our understanding of being a young adult with T1DM.
本研究旨在探讨 18-35 岁的 1 型糖尿病（T1DM）患者的生活质量与以下因素的关系：对并发症（包括低血糖）的恐惧、糖尿病自我管理自我效能感以及糖尿病的自我管理。
参与者（N=180）在线完成了人口统计学/一般健康调查、糖尿病生活质量量表、低血糖恐惧量表、并发症恐惧问卷、糖尿病行为评定量表、糖尿病自我管理自我效能感和糖尿病知识测验。
多元线性回归显示，生活质量与低血糖恐惧、对并发症的恐惧和自我效能显著相关。生活质量与糖尿病自我管理行为或糖尿病知识均无相关性。
尽管参与者在糖尿病生活质量量表上表现出了适当的自我管理行为和中等的自我效能感，但他们报告对糖尿病给家庭带来的负担和管理糖尿病所需的时间感到非常不满。生活质量与对低血糖的恐惧和对并发症的恐惧显著正相关。生活质量与自我效能显著负相关。这些观察结果表明，随着对低血糖的恐惧和对并发症的恐惧增加，生活质量下降，而随着自我效能感的增加，生活质量也随之提高。因此，对低血糖的恐惧、对并发症的恐惧和自我效能可能是用于设计旨在提高 T1DM 年轻患者生活质量的干预措施的合适的主要结局。本研究的结果扩展了我们对 T1DM 年轻患者的理解。
