كاربرد مدل مراقبت از خود در تعيين عوامل موثر بر كيفيت زندگي و وضعيت متابوليك بيماران ديابتي غير وابسته به انسولين با استفاده از تحليل مسيري

Application in Self Care Model to Determine the Influencing Factors on QOL and Patientʹs Metabolic Condition

Diabetes mellitus is a chronic disease and an important aspect in self care of chronic patients that is the assessment of their quality of life (QOL). The goal therapeutic care is promotion of patientʹs QOL. Nursing theories can be used to promote QOL, decrease financial burden and finally correct patientʹs QOL. Among nursing theories Oremʹs self care is a model that is used in chronic illness. In this study Oremʹs theory is used and there were direct and indirect relationships between variables. Therefore using through Path Analysis is advised. This analysis was used in this study and its application in self care model was used to determine the influencing factors on QOL and patientʹs metabolic condition. This study had a quasi- experimental design .The sample consisted of 137 NIDDM patients who referred to diabetic educational center in Tabriz city. After 6 months follow up, 59 patients were analyzed data were gathered through filling questionnaire and interview. The subjects answered a five part questionnaire which covered: socio- demographic data, self care need assessment and ability of self c are, h ealth r elated Q OL, s pecific Q OL and assessment of metabolic condition and sick leaves. Coding of variables was done in order for Path Analysis and then researcherʹs model was determined, from the variables examined by researcher, only age was effective. On the other hand, from extraneous variables, there was a significant relationship between age and forces (-0.359), and age and elimination condition (-0.329) and there was a negative significant relationship between age and metabolic condition (-0.14) and QOL (-0.405). There was a positive significant relationship between forces and metabolic condition (0.04) and QOL (0.06).