| PrefaceNowadays,the number of diabetic is growing up,diabetes has become one of the most important diseases that include cardiovascular and cerebrovascular disease and malignancy,endangers people's health.It is a disease which needs long-term control, and its purpose of treatment is not only to control the levels of blood glucose,but also to prevent the complications and alleviate the symptoms.Therefore,the importance of treatment is to keep normal life style and proper food habits.In our country,diabetics don't know much about the situations of their own diseases and how to treat them.So acceptance of diabetes education is major route to learn the normal life style and proper eating habits.Also,diabetes education plays an actively supplementary role for clinical treatment.This study applied the questionnaire of compliance and the Medical Outcome Study 36-Item Short-Form(SF-36),which recognized by both home and aboard,to make an investigation of diabetics.The aim of the study was to discuss the influence of diabetes education for the treatment compliance of diabetics,to analyze the influencing degree of diabetes education for quality of life(QOL) of diabetics,to find the influence factors of diabetics' QOL.The study may provide the theoretical basis for improving the levels of diabetes education.Objects and MethodsResearch objectsWe chose 90 diabetics who participated the course of diabetes education during the period October of 2008 to March of 2009,and chose 205 diabetics who were in the first affiliate hospital of China Medical University in Shenyang,Liaoning Province,but never participated in the course of diabetes education during the period September to October of 2008.We totally put out 295 questionnaires and took all of them back effectively.The rate of taking back is 100%.Research Method1.The content and method of the investigationThe contents of the investigation include the general status of the objects,the diabetics' compliance and the QOL.The questionnaire of diabetics' compliance was modified from a good representative compliance questionnaire at home under the guidance of specialist(schedule 1).The Chinese SF-36 form was chosen as the measure of QOL(schedule 2).The investigation contained field investigation and follow-up investigation by telephone.In field investigation,the questionnaires were filled in personally;and in follow-up investigation by telephone,the questionnaires were filled by investigator after the patient made choice.2.The influence of diabetes education for the treatment compliance and the QOL of diabeticsCompare data with control group and use self paired comparison,researched the influence of diabetes education for the treatment compliance and the QOL of diabetics through observing tendency and degree of data's variation.3.Analysis of the influencing factors about the QOLThe influencing factors about the QOL of each dimension were analyzed by the means of single or multiple regressions,to discuss influencing factors of diabetics' QOL and influencing degree of diabetics.4.Statistical analysisThe datum is analyzed by SPSS13.0 and AMOS7.0 software.Results1.There were no significant difference between diabetics in hospital and diabetics who had participated diabetes education in gender,age,marital status,occupation, education level and the form of medical expenses.It is suggested that the two groups come from the same patients. 2.According to the result of content validity and retest reliability,questionnaire of compliance has a good validity and reliability.According to the result of consistence test,collection validity,discrimination validity and construct validity,SF-36 has a good validity and reliability.3.We used self paired comparison to analyze the data of the treatment compliance from the patients who had participated diabetes education and the patients in hospital who hadn't participated diabetic education.The results suggest that the treatment compliance of patients is improved as the number of times that these patients participated diabetes education was increased.The treatment compliance of the patients in hospital is improved just in a short-term period,who hadn't participated diabetes education.However,since these patients discharged from hospital for two weeks,the treatment compliance of these patients had began declining.Through the result we also find out that the treatment compliance would be declined if patients discontinued participating education for a long time.4.The result of self paired comparison suggests that diabetes education can influence QOL of diabetics.After participated in more diabetes educations,diabetics' MCS would be improved.5.Results of multifactor analysis show that "having insulin treatment or not", "having obesity history or not"," patient year","exercise habits","eating habits" are main factors of PCS,while "falling ill or not","medical treatment expenditure", "having debt or not","food expenditure "and "average income "are main influencing factors of mental health.Conclusions1.Long-term education of health can make the diabetics systemically learn knowledge about diabetes,and play an active role for treatment and improving the eating habits.2.Insist on taking part in health education regularly can improve the quantity of mental health.3.The main influencing factors of physiological health are "having obesity history or not","exercise habits" and "eating habits".The main influencing factors of mental health are "having insulin treatment or not","having obesity history or not","patient year" and "eating habits".
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