Background : DM is a chronic disease which self-management has been required for a long timee. Besides blood sugar control, the Quality-of-Life which the patients themselves have been satisfied with is important in diabetic management. But the studies for the diabetic QOL have been rare until now. The purpose of this study is to help that family physician take care of diabetic patient with evaluation and understanding of diabetic quality of life.
Methods : This study has been made of 108 NIDDM patients that have been visited to Incheon Segiwang and Seoul Seoboo hospitals during 7 months(1994.3-1994.9). The diabetic patients were evaluated by Duke-UNC general health profile as the Diabetic Quality-of-Life(DQOL) scale in this evaluated by Duke-UNC general health profile as the Diabetic Quality-of-Life(DQOL) scale in this study. The prupose of this study is to evaluate DQOL was scaled and compared with age, weight, economics, education, job, fasting blood sugar, treatment modality, and duration of the D.M..
Results : 1. The difference between males and females was not found on the total DQOL, but females were significantly more distressed than males in emotional function(P<0.05) and physical function(P<0.01). 2. The differences in non-diabetic factors(weights, economics, educations, jobs) were not found on the DQOL. 3. There was no significant difference in fasting glucose levels. The difference in durations of D.M. was not found on the DQOL. 4. The difference in treatment modality group such as diet&exercise group, oral hypoglycemic agent group and insulin therapy group was found on the total DQOL(P<0.01), especially with insulin therapy group being significantly more distressed than diet&exercise therapy group in emotional function(P<0.01), symptom status and social function(P<0.05).
Conclusion : The difference in treatment modality group such as diet&exercise group, oral hypoglycemic agent group and insulin therapy group was found on the total DQOL. The DQOL in treatment modality was depressed in order of insulin therapy group, oral hypoglycemic agent group and diet&exercise group. Finally, besides biochemical controls such as blood glucose level and prevention of the diabetic complications, the various factors in diabetic management which depress diabetic QOL should be detected and repaired, and the diabetic treatments and educations which improve diabetic QOL should be investigated further.