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A path model of health‐related quality of life in Type 2 diabetic patients: a cross‐sectional study in Taiwan
Author(s) -
Wang RueyHsia,
Wu LiChu,
Hsu HsiuYueh
Publication year - 2011
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.2011.05701.x
Subject(s) - cross sectional study , quality of life (healthcare) , medicine , path analysis (statistics) , health related quality of life , quality (philosophy) , gerontology , psychology , nursing , statistics , mathematics , disease , pathology , physics , quantum mechanics
wang r.‐h., wu l.‐c. & hsu h.‐y. (2011) A path model of health‐related quality of life in Type 2 diabetic patients: a cross‐sectional study in Taiwan. Journal of Advanced Nursing 67 (12), 2658–2667. Abstract Aims. To construct a path model about relationships of perceptions of empowerment, diabetes distress, self‐care behaviour and glycemic control to health‐related quality of life in Taiwanese Type 2 diabetic patients, suffering from diabetes for 10 years or less. Background. Health‐related quality of life is the primary end point for people with diabetes. Understanding the path model of health‐related quality of life in Type 2 diabetic patients is useful for nurses to design early intervention programmes. Methods. This was a cross‐sectional study. An anonymous questionnaire was used to collect data from 2007 to 2008. Glycosylated haemoglobin (HbA1c) was also collected. Data from 428 Type 2 diabetic patients were analysed with structural equation modelling to test the fit of the hypothesized path model to the data. Results. A model was produced in which self‐care behaviour had a statistically significantly direct influence on satisfaction, impact and worry aspects of health‐related quality of life. Glycosylated haemoglobin had a statistically significantly negative influence on satisfaction, and impact aspects of health‐related quality of life. Perceptions of empowerment had a statistically significantly direct influence on satisfaction aspect of health‐related quality of life. Diabetes distress had a statistically significantly direct influence on satisfaction, impact and worry aspects of health‐related quality of life. Conclusions. Nurses should develop new approaches to improve various aspects of health‐related quality of life. Nurses could empower patients to improve satisfaction aspect of health‐related quality of life. To improve the impact and worry aspects of health‐related quality of life, nurses should reduce diabetes distress felt by patients.