CAJ | 학술논문

目的：探讨授权能力是否影响2型糖尿病患者生存质量，为临床开展针对性的健康教育提供参考依据。方法采用方便抽样方法，对58例住院的2型糖尿病患者的授权能力和生存质量进行调查。结果（1）患者的授权能力平均得分为（3．72±0．36）分，授权总分处于低、中、高水平的分别占13．8％、75．9％和10．3％；（2）患者生存质量的平均得分为（49．41±8．67）分，生存质量整体水平较低的患者占1．7％，中等水平占86．2％，较高水平占12．1％。糖尿病对患者心理/精神维度的影响最大，其次是生理维度，对社会维度的影响最小；（3）生存质量总分与授权能力呈负相关关系（ r＝-0．27，P＜0．05）；生存质量量表中的生理维度与治疗维度与授权能力得分呈负相关关系（r＝-0．3～-0．38，P＜0．05）。结论2型糖尿病患者的授权能力及生存质量状况处于中等水平，患者授权能力越高，糖尿病对其生存质量的影响越小。
목적：탐토수권능력시부영향2형당뇨병환자생존질량，위림상개전침대성적건강교육제공삼고의거。방법채용방편추양방법，대58례주원적2형당뇨병환자적수권능력화생존질량진행조사。결과（1）환자적수권능력평균득분위（3．72±0．36）분，수권총분처우저、중、고수평적분별점13．8％、75．9％화10．3％；（2）환자생존질량적평균득분위（49．41±8．67）분，생존질량정체수평교저적환자점1．7％，중등수평점86．2％，교고수평점12．1％。당뇨병대환자심리/정신유도적영향최대，기차시생리유도，대사회유도적영향최소；（3）생존질량총분여수권능력정부상관관계（ r＝-0．27，P＜0．05）；생존질량량표중적생리유도여치료유도여수권능력득분정부상관관계（r＝-0．3～-0．38，P＜0．05）。결론2형당뇨병환자적수권능력급생존질량상황처우중등수평，환자수권능력월고，당뇨병대기생존질량적영향월소。
Objective To investigate the relationship between the empowerment and quality of life of patients with type 2 diabetes mellitus ,and to provide reference for making targeted healthy education .Method A convince sample of 58 patients with type 2 diabetes mellitus were investigated with the questionnaire of DSQL and DES-SF .Result (1) The average score of DES-SF was (3 .72 ± 0 .36) .There were 13 .8% patients with the low level of empower-ment ,75 .9% patients in the medium level and 10 .3% patients in the higher level ;(2) Patients with type 2 diabetes mellitus had the average score of (49 .41 ± 8 .67) for the quality of life .There were 1 .7% patients in the low level of quality of life ,86 .2% patients in the medium level and 12 .1% patients in the higher level .The disease had the greatest impact on the dimension of psychological ,the next is physical .It has the least impact on the subscale of so-cial;(3) The DSQL was negatively correlated with DES-SF (r= -0 .27 ,P<0 .05);The subscale of physical and treatment of DSQL were negatively correlated with the empowerment (r= -0 .3-0 .38 ,P<0 .05) .Conclusion The empowerment and quality of life were in the medium level .The higher level of the empowerment ,the diabetes has less impact on the patients'quality of lift .