Health Care : Current Reviews

Influence of social psychological factors on care outcomes of patients with type-2 diabetes

10^th Asia Pacific Global Summit on Healthcare

March 12-14, 2018 Singapore

Pan Yen-Chu

St. Martin De Porres Hospital, Taiwan

Posters & Accepted Abstracts: Health Care Current Reviews

Abstract:

Background: Diabetes is a global, chronic disease that has been recognized as an important health issue in many countries. The prevalence rate of diabetes is very high in Taiwan that poses a serious threat to the health of people. Patients�?? physical and psychosocial factors all have an impact on the treatment result. However, this issue has not been extensively discussed in previous research. Aim: The purpose of this study was to investigate the effects of socio-psychological factors on the care outcomes of type-2 diabetes. Method: The study is a descriptive and correlation design; used structured questionnaires collected data from a large regional teaching hospital located in southern Taiwan. Instruments included a basic information form, Social Support Scale, Chinese version of Perceived Diabetes Self-Management Scale, Chinese version of Patient Health and Depression Questionnaire, Perceived Stress Scale, and Health-related Quality of Life Scale. Data were coded and analyzed using SPSS 22.0 software for Windows. The analysis methods included descriptive statistics, independent-sample t-test, one-way ANOVA, Pearson product-moment correlation, multiple linear regression, and binary logistic regression. The sample consisted of 133 patients. In this sample, women constituted the majority; most patients are married, aged between 60~69, having elementary education as highest level of education, and economically independent. Majority patients were diagnosed of the disease over the last 5~10 years. Results: Results showed that among the diabetes patients, depression was significantly negatively related to social support (r=-0.27, p<0.05), psychological distress was significantly negatively related to social support (r=-0.21, p<0.05), psychological distress was significantly positively related to depression (r=0.85, p<0.01), quality of life was significantly negatively related to depression (r=-0.64, p<0.01) and psychological distress (r=-0.59, p<0.01). Conclusion: Continuous outcome variables were analyzed using regression analysis. Results indicated that depression and economic independence jointly explained 32.1% of variance in the physical aspect of quality of life (27.9% by depression and 4.2% by economic independence). Depression and psychological distress jointly explained 61.3% of variance in the psychological aspect of quality of life (59% by depression and 2.3% by psychological distress). Economic dependence on others explained 3.1% of variance in the number of hospital stays. Depression explained 3.7% of variance in the number of emergency department visits. Education level explained 4.3% of variance in the number of complications. Categorical outcome variables were analyzed using binary logistic regression. Results showed that education had a significant effect on average glucose level over the last year (p>0.03). Depression had a significant effect on both the last HbA1c level (p<.05) and average glucose level over the last year (p>0.03). Results of this study suggest that when providing clinical care to diabetes, nurses should also consider the effects of socio-psychological factors on the care outcomes and provide necessary counseling and treatment of depression to enhance the effectiveness of care.

Biography :

Pan Yen-Chu has graduated from Da-Yeh University, Taiwan in Master of Health Enterprise Management. Currently Pan Yen-Chu is working at St. Martin De Porres Hospital as a Chief Nursing Officer in Surgical Intensive Care Unit engaged in clinical management and teaching.
Email:queenpyc@gmail.com