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Modification of the lifestyle centering on dietary therapy has been proven to be effective for the treatment of diabetes mellitus, which is increasing progressively. However,lifetime treatment for dia...betes inevitably puts economic as well as physical and mental burdens on the patients,and many patients drop out by discontinuing or neglecting treatment,promoting exacerbation of the condition. In this study,an original“Quality of life (QOL)questionnaire for patients with type II diabetes”using a visual analogue scale was tentatively prepared. To evaluate the reliability and validity of this questionnaire, 126 patients (64 males and 62 females) being treated as outpatients or inpatients at 8 university or public hospitals in Fukuoka Prefecture were selected at random, and valid answers from 73 patients were analyzed. From the 46 questions, those in which no significant correlation was observed or which were not answered by many patients were excluded. Since the value of sampling adequacy was 0.673 according to the Kaiser- Meyer-Olkin (KMO)measure,the sampling adequacy is considered to have been average. When factor analysis by varimax rotation was performed using the Statistical Package for Social Science, 4 factors consisting of 18 question items were extracted. Eventually, these 4 factors of 18 questions were adopted for the QOL questionnaire for patients with type II diabetes. The alpha values of the 4 factors were high at 0.867, 0.795, 0.706, and 0.756. These results confirmed the internal consistency of the questionnaire and sufficient reliability of this analytical method.
年々増加の一途を辿っている糖尿病患者の治療は，食事療法を中心とした生活習慣の改善が有効と実証されている．しかし，生涯にわたる治療は患者の肉体的および精神的苦痛，さらには経済的負担を余儀なくし，治療中断や放置等のために脱落患者が多発する．その結果として病状悪化が助長される．本研究では連続表記法を用い独自な「２型糖尿病のためのquality of life（QOL）質問表」を試作した．同質問表の信頼性ならびに妥当性を検討する目的で，福岡県内の大学病院および公的病院８ケ所に入院および通院中の２型糖尿病患者126名（男性64名，女性62名）を無作為に抽出し，有効回答が得られた73名を対象に解析した．有意相関の認められない，ないしは無回答の多かった質問項目は46質問項目から除外した．標本の妥当性をKaiser-Meryer-Olkin（KMO）の適切性基準で検討した結果，測度値が0.673と算出されたので“並み”の妥当性が得られたと判定した．統計処理パッケージStatistical Package for Social Scienceを用いvarimax 回転による因子分析を行ったところ，18質問項目からなる４因子が抽出された．最終的にはこの4因子18質問項目を2型糖尿病のためのQOL 質問表として採用した．各４因子のalpha係数は0.867，0.795，0.706，0.756と高値を占めた．この結果から内的整合性が確認され，本解析法の信頼性は十分に確保できた．続きを見る
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Mendeley出力
fam98-10_p379