Browse > Article
http://dx.doi.org/10.12811/kshsm.2015.9.2.057

The Influence on Health-related Quality of Life in Diabetes Mellitus Patients over 50 Years Old by Stress Recognition, Depression, and Suicidal Thinking  

Bea, Sang-Sook (Department of healthcare administration, Chatholic Sangji University)
Publication Information
The Korean Journal of Health Service Management / v.9, no.2, 2015 , pp. 57-68 More about this Journal
Abstract
This study investigated factors that affect stress recognition, depression, suicidal thoughts and health-related quality of life for diabetics over 50 years of age. Five hundred one diabetics were surveyed who participated in the 4th Korea National Health and Nutrition Examination Survey 2009. The data were analyzed with multiple regression analysis and Structural Equation Model to determine the factors. The results are as follows. Men, older and lower income groups, those not involved in economic activities, smokers, and drinkers showed a lower quality of life (p<0.001). There was no correlation with moderate-intensity exercise. Stress recognition (t=-4.229, p<0.001), depression (t=-2.156, p<0.05), and suicidal thoughts (t=-3.274, p<0.001) had significant effects on the quality of life (p <0.001, $R^2=0.25$). The most important of these factors is stress. Being diagnosed as a diabetic changes the lives of patients, who come under stress from controlling their blood sugar level. Societal support should be developed to help patients cope with the challenges of diabetes.
Keywords
Diabetes Mellitus; Quality of Life; Stress; Depression; Suicidal Thinking;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Korean Diabetes Association(2013), Diabetes Fact Sheet in Korea, http://www.diabetes.or.kr/temp/diabetes_factsheet_2013111.pdf
2 Korea Centers for Disease Control and Prevention(2008), 2007 National health and nutrition examination survey, Seoul: Author, http://www.cdc.go.kr
3 Ministry of Health & Welfare(2011), The Korea National Health and Nutrition Examination Survey V-second, http://www.mw.go.kr
4 http://www.diabetes.org/
5 G.S. Park(2008), Surveillance system and Policy development of QOL associated disease (eye, ear problem and osteoporosis), GyeongSang National University, Korea Center for Disease Control and Prevention, pp.20-63.
6 J.G. Kim, L.S. Kwon(2013), Measurement of Quality of Life related to Health by demographic characteristics of adult patients with cancer using EQ-5D Index: Focused on the Korea Health & Nutrition Examination Survey, Vol.11(8);281-291.
7 J.W. Shin, Y.K. Park, S.R. Suh, J.E. Kim(2011), Factors Influencing Quality of Life in Elderly Diabetic Patients of Korea: Analysis from the Korea National Health and Nutrition Examination Survey in 2008, Journal of Korean Gerontological Society, Vol.31(3);479-487.
8 D.B. Kim, S.J. Chae, W.K. Cho(2009), The Influence of the Health Promotion Behaviors on the Life Satisfaction of the Elderly with Diabetes-A Mediating Effect of Depression, Journal of the Korean Gerontological Society, Vol.29(1);101-116.
9 Y.J. Kim, N.S. Seo, S.J. Kim, I.S. Park, S.J. Kang(2014), Quality of Life and Its Correlated Factors among Elderly People with Diabetes in a Community, The Korean Journal of Health Service Management, Vol.8(1);75-88.   DOI
10 S.H. Park, B.D. Hwang(2013), The Effect of Their Sense of Depression and Suicidal Thinking for Managerial Characteristics in Hypertense and Diabetic Patients, The Korean Journal of Health Service Management, Vol.7(4);221-232.   DOI   ScienceOn
11 Y.W. Lee(2002), A study of quality of life in middle-aged men, J Korean Acad Nurs, Vol.32(4);539-549.   DOI
12 W.H. Choi(2012), The Relationship of Depression, Fatigue and Quality of Life in Middle-Aged Adults, The Korean Journal of Health Service Management, Vol.6(2);91-99.   DOI   ScienceOn
13 D.H. Yang(2010), The Guide Line for the Stress Management of the Diabetes, J Korean Clinical Diabetes, Vol.11;215-219.
14 http://www.euroqol.org/
15 http://www.who.int
16 K.O. Cho, S.N. Nam(2013), Relationship between Physical Activity and Health related Life Quality according to Gender in Korean Elderly People, Journal of the Korean Gerontological Society, Vol.33(4);775-785.
17 H.K. Lee, C.G. Chang(2012), The relations of health-related quality of life, mental health, and suicidal ideation among Korean elderly, Korean Public Health Research, Vol.38(1);69-79.
18 S.H. Park, K.S. Kim, S.W. Kang, H.S. Shin, C.Y. Bae, D.H. Shin(1993), Depression and its association on diabetes mellitus patient, J Korean Acad Fam Med, Vol.14(3);167-172.
19 Korean Association Geriatric Psychiatry(1998), TEXTBOOK OF GERIATRIC PSYCHATRY, Vol.5(1);181-194.
20 S.S. Lee, K.J. Lee(2002), The Stress, Social Support and Psychological Well-being of the Elderly, Journal of the Korea Gerontological Society, Vol.22(1);1-20.
21 S.J. Cho, B.S. Kim(2014), The Relationship between Stress and Life Satisfaction among the Elderly: The Mediating Effects of Depression, Self-efficiency and Mindfulness, Journal of the Korean Gerontological Society, Vol.34(1);49-71.