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Learning Objective 1: The learner will be able to understand empowerment perception, emotional distress, self-care behavior, and quality of life in Type 2 Diabetes patients.
Learning Objective 2: The learner will be able to understand the path model of quality of life in Type 2 Diabetes patients.
Methods: A proposed path model was developed. By convenience sampling, 436 Type 2 diabetes patients recruited from three hospitals in
Results: A modified path model with fit indices of χ2=4.17(df=1, p=0.041);GFI=0.995; AGFI=0.95 and RMSEA=0.085 best fitted the data. Self-care behaviors had significantly positive effect on satisfaction QoL. However, self-care behaviors had significantly negative effect on impact and diabetes-related worry QoL. Emotional distress had significantly negative total effects on satisfaction, impact, and diabetes-related worry QoL. Emotional distress could not influence satisfaction, impact, and diabetes-related-worry QoL through the mediating of self-care behaviors. Empowerment perceptions had significantly positive effect on satisfaction QoL, not only directly but also through the effect of self-care behaviors. Empowerment perceptions had no significant effect on impact and diabetes-related-worry QoL.
Conclusion: The study supports the hypothesis that improving empowerment perception and self-care behaviors could improve the satisfaction of QoL. Reducing emotional distress could increase the satisfaction, impact and diabetes-related-worry QoL. Healthcare professionals should be aware of the negative effect of self-care behaviors on impact and diabetes-related-worry QoL of diabetes patients.