Diabetes Mellitus Clinical Trial
Official title:
The Comparison and Association of Fatigue, Self-care Activities and Quality of Life in Patients With Pancreatogenic Diabetes Mellitus After Total Pancreatectomy or Pancreaticoduodenectomy
Background: Pancreatogenic diabetes resulted from total pancreatectomy(TP) is one of the
reason why this form of surgery technique is seldom performed. However, with the progress of
medical and surgical care nowadays, patients undergone TP could receive better care in
endocrine and exocrine insufficiency. In addition, with better understanding of benign
pancreatic tumors and pancreatic neuroendocrine tumors, more patients with diffused
pancreatic disease are diagnosed; hence, the performance of TP may rise. Nevertheless, the
quality of life of patients with pancreatogenic diabetes after TP is still currently
controversial.
Purpose: The purpose of this study is to (1) explore the association of fatigue, self-care
activities and quality of life in patients with pancreatogenic diabetes after total
pancreatectomy; (2) compare the data with diabetic patients after pancreaticoduodenectomy.
Method: A correlational and comparative cross-sectional approach will be used. The data will
be collected with a structured questionnaire via purposive sampling of 120 subjects in an
outpatient pancreatic surgical department. Inclusion criteria will be the patients with: (1)
age 20 or above, (2) conscious clear, can communicate in Mandarin or Taiwanese, (3) agree to
participate in the study and sign informed consent. Exclusion criteria will be the patients
diagnosed with cancer other than pancreatic cancer and under active treatment. Data will go
through propensity score matching and will be analyzed by using descriptive statistics,
paired t-test, Chi square test, Pearson's correlation, and conditional logistic regression.
Anticipated achievement: The anticipated achievement of this study is to understand the
relationships between fatigue, self-care activities, and quality of life in patients with
pancreatogenic diabetes after pancreas surgery. In addition, through this study, the
influence of diabetes to patients after pancreatic tumor resection can be explored; and the
factors that influence the population's quality of life can be examined. By the filling of
this knowledge gap, intervention can be planned accordingly to help improve the population's
quality of life.
n/a
Observational Model: Case-Only, Time Perspective: Cross-Sectional
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