摘要
目的探讨中老年2型糖尿病患者生活质量,并对相关影响因素进行分析。方法对2021年1—12月在泉州市三级医院住院治疗94例中老年2型糖尿病患者采用信效度和敏感度均较好的生活质量综合评定问卷(generic quality of life inventory-74,GQOL I-74)调查生活质量,并进一步采用单因素和多元逐步回归分析法分析患者生活质量的影响因素。结果94例患者生活质量总评分为(58.68±12.87)分,其中躯体功能最低,社会功能最高。94例患者的焦虑自评量表(self-rating anxiety scale,SAS)评分和抑郁自评量表(self-rating depressionscale,SDS)评分均显著高于国内常模,差异有统计学意义(P<0.05)。根据评分标准,发生焦虑35例(37.23%),发生抑郁43例(45.74%)。单因素分析显示,病程、并发症、年龄、婚姻状况、收入、焦虑、抑郁、体育锻炼、工作状态、血糖控制情况与患者生活质量评分有关(P<0.05),其中病程超过10年、有并发症、年龄≥60分、月均收入<1000元、下岗无业、未婚、离异或丧偶、血糖控制不理想、焦虑、抑郁、不经常进行体育锻炼患者的生活质量评分更低,多元逐步回归分析结果显示出现糖尿病并发症月均收入<1000元、合并焦虑情绪、合并抑郁情绪、血糖控制效果不佳、病程超过10年是2型糖尿病患者生存质量降低的危险因素,经常进行体育锻炼是患者生存质量的保护因素(P<0.05)。结论2型糖尿病患者生存质量影响因素较多,应加大糖尿病知识宣传,对患者的生活方式进行指导,坚持药物、饮食、运动等多种方法治疗,减轻精神压力,以改善患者生活质量。
Objective To investigate and evaluate the quality of life of middle-aged and elderly patients with type 2 diabetes,and analyze the related influencing factors.Methods A total of 94 middle-aged and elderly patients with type 2 diabetes were hospitalized in Quanzhou tertiary Hospital from January to December 2021,and were investigated with the generic quality of life inventory-74(GQOL I-74),which had good reliability,validity and sensitivity,and further analyzed the influencing factors of the patients'quality of life with single factor and multiple stepwise regression analysis.Results The total quality of life score of 94 patients was(58.68±12.87)points,with the lowest physical function and the highest social function.The self-rating anxiety scale(SAS)scores and self-rating depression scale(SDS)scores of 94 patients were significantly higher than the domestic norm,and the difference was statistically significant(P<0.05).According to the scoring criteria,35 cases(37.23%)experienced anxiety and 43 cases(45.74%)experienced depression.Univariate analysis showed that the course of disease,complications,age,marital status,income,anxiety,depression,physical exercise,work status,and blood glucose control were related to the patient's quality of life score(P<0.05).Among them,the course of disease exceeded 10 years,there were complications,age≥60 points,monthly average income<1000 yuan,unemployed,unmarried,divorced or widowed,poor blood glucose control,anxiety,depression The quality of life score of patients who do not often take physical exercise is lower.The results of multiple stepwise regression analysis show that complications of diabetes,per capita monthly income<1000 yuan,anxiety,depression,poor blood glucose control,and disease duration of more than 10 years are risk factors for the decline of the quality of life of patients with type 2 diabetes,regular physical exercise is a protective factor for the quality of life of patients(P<0.05).Conclusion There are many factors affecting the quality of life of patients with type 2 diabetes.It is necessary to increase the publicity of diabetes knowledge,guide the lifestyle of patients,adhere to medication,diet,exercise and other methods of treatment,reduce mental stress,and improve the quality of life of patients.
作者
陈雅森
林珍
CHEN Yasen;LIN Zhen(Department of Psychology,Quanzhou Third Hospital,Quanzhou Fujian 362000,China)
出处
《中国卫生标准管理》
2023年第23期86-89,共4页
China Health Standard Management
关键词
中老年
2型糖尿病
生活质量
生活质量综合评定问卷
影响因素
多元逐步回归分析
middle-aged and elderly
type 2 diabetes
quality of life
comprehensive quality of life assessment questionnaire
influencing factors
multiple stepwise regression analysis
