探討視網膜病變對糖尿病病患生活品質之影響及相關因素

Original Article Impact of Retinopathy on the Quality of life of Diabetic Patients and its Related Factors

目的：探討視網膜病變對糖尿病病患生活品質之影響及相關因素。方法：本研究為橫斷性研究，以立意取樣，研究對象為2017年10月至2018年1月，至某醫院眼科門診就醫之糖尿病患。以SF-36v2健康生活品質量表，結構式問卷及病歷查閱等收集資料，統計分析方法包含t-test、卡方及線性複迴歸模式。結果：有效問卷共263份，糖尿病視網膜病變者115位，SF-36v2各構面中，有視網膜病變者之生活品質分數，均較無視網膜病變者低。控制相關變項後，視力是影響生理面向生活品質的顯著因素，有、無視網膜病變，對生理面向生活品質之影響無顯著差異；單眼視網膜病變者心理面向生活品質，顯著低於無病變者。結論視網膜病變者之生活品質分數，普遍低於無視網膜病變者，糖尿病患宜預防視網膜病變。

Purposes: To evaluate the impact of retinopathy on the quality of life of diabetic patients and its related factors. Methods: This is a cross-sectional study with purposive sampling. The subjects of this study included diabetic patients who visited the ophthalmology clinic in a hospital from October 2017 to January 2018. Data were collected by the self-development structured questionnaire, Psychometrics of the Short Form 36 Health Survey Version 2 (SF-36v2), and review of medical records. Statistical analysis methods included Student's t-test, chisquare test, and linear regression model. Results: A total of 263 valid questionnaires were collected, among which 115 respondents had diabetic retinopathy. Analyses of SF-36v2 revealed that the respondents with retinopathy displayed a lower quality of life scores than that of respondents without retinopathy. After controlling for the related variables, the binocular parallax was found to be a significant factor affecting the physiological quality of life, and there was no significant difference in the physiological quality of life between those with and without retinopathy; the psychological quality of life of patients with monocular retinopathy was significantly lower than that of patients without retinopathy. Conclusions: This study concluded that the quality of life scores of patients with retinopathy were generally lower than those without retinopathy; hence, diabetic patients should take appropriate measures to avoid retinopathy.