摘要
目的评价重庆地区2型糖尿病患者生存质量,并探讨其影响因素。方法采用分层多阶段随机抽样的方法,对重庆市垫江县和渝北区部分地区18岁以上2型糖尿病患者生存质量状况进行调查。运用一般情况调查表和糖尿病患者生存质量特异性量表(Diabetes Specific Quality of Life Scale,DSQL)进行生存质量测评,单因素分析和多元线性回归分析进行生存质量影响因素分析。结果共调查496例患者,平均年龄(64.62±9.67)岁,垫江222例(44.8%),渝北274例(55.2%)。糖尿病患者生存质量平均得分(60.53±14.69)分,垫江患者生存质量得分较渝北患者得分高,患者DSQL的4个维度受糖尿病影响程度从高到低依次为生理功能、心理/精神、治疗和社会关系。单因素分析和多元线性回归分析结果显示,糖尿病患者生存质量与人月均收入(β=-2.378)、血糖控制满意度(β=3.085)、性别(β=2.949)、居住地区(β=-3.509)、有无并发症(β=-2.830)存在线性回归关系(均P<0.05)。结论重庆2型糖尿病患者生存质量较差,垫江患者生存质量较渝北患者差。糖尿病患者生存质量影响因素包括性别、居住地区、人月均收入、有无并发症、血糖控制满意度。应采取针对性干预措施,提高糖尿病患者自我管理水平,进而提高患者生存质量。
Objective To evaluate the quality of life（QOL）of type 2 diabetes mellitus（DM）patients in Chongqing and to explore its influencing factors. Methods Type 2 DM patients over 18 years old were randomly selected from Dianjiang and Yubei district of Chongqing by multistage stratified sampling method.The QOL of these patients was evaluated using a demo-graphic information questionnaire and Diabetes Specific Quality of Life Scale（DSQL）.The univariate analysis and the multivari-ate linear regression analysis were performed to identify the influencing factors of QOL of the patients.Results A total of 496 patients with an average age of（64.62±9.67）years old were enrolled,with 222 patients（44.8%）from Dianjiang and 274 pa-tients（55.2%）from Yubei.The average score of QOL was（60.53±14.69）,with the average score of patients in Dianjiang higher than that in Yubei.DSQL showed the following factors were affected by type 2 DM from high to low：physiological func-tions,psychology/mentality,treatment and social relations.The univariate analysis and the multiple linear regression analysis showed that the overall QOL had linear regression relationships with the average monthly income（β=-2.378）,glycemic con-trol satisfaction（β=3.085）,sex（β=2.949）,living area（β=-3.509）and complications（β=-2.830）.Conclusion Type 2 DM patients in Chongqing have poor QOL,with QOL of patients in Dianjiang being worse than that in Yubei.The influencing fac-tors of QOL of patients include sex,living area,average monthly income,complications,and glycemic control satisfac-tion.Specific measures should be taken to promote the self-management level and the QOL of patients with type 2 DM.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2016年第3期340-343,共4页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
基金
国际合作项目(美国杜克大学
X7383)
