J Korean Acad Fundam Nurs.  2012 Aug;19(3):353-362.

Comparative Study on HbA1C, Self-care Behavior, and Quality of Life by Depression Status in Type II Diabetic Patients

• Jeong Y
• Kim M

Abstract

PURPOSE
The objective of this study was to examine the correlation between HbA1C, self-care behavior, and quality of life among depressed and non-depressed patients with type II diabetes.
METHODS
Data were collected between May 26 and July 5, 2011 using a questionnaire. The questionnaire included depression (CES-D), self-care behavior and quality of life. Hemoglobin A1C was abstracted from medical records. Data were analyzed by descriptive statistics, t-test, chi2-test, ANCOVA and Pearson's correlation coefficient.
RESULTS
In this study sample (n=301), 20.9% of diabetic patients (n=69) were depressed. After adjustment for relevant covariates, depressed patients showed to have lower self-care behavior (2.8 vs 3.4, p<.001) and quality of life (2.8 vs 3.5, p<.001) scores, but the difference in HbA1C was no longer significant.
CONCLUSION
This study suggests that the assessment and intervention for depressed diabetic patients can result in effective self-care behavior, which accordingly leads to improvement of the quality of life.

Keyword

Depression; Diabetes mellitus; HbA1C; Quality of life; Self care

MeSH Terms

Depression
Diabetes Mellitus
Hemoglobins
Humans
Medical Records
Quality of Life
Surveys and Questionnaires
Self Care
Hemoglobins