摘要
目的定量评价糖尿病(DM)患者的生命质量(QOL),探讨有关影响因素。方法采用SF-36量表中关于生命质量及其影响因素调查表,对245例DM患者和248例血糖正常者(NGT)进行病例对照研究。结果DM患者在总体健康感觉、躯体健康功能和心理健康方面均有不同程度的受损,尤其在总体健康感觉方面。DM组QOL处于好以及很好状态的有41.22%,显著低于NGT组的56.45%。logistic回归分析发现19个变量对DM患者QOL的各维度产生影响。服降糖药治疗、定期进行健康检查、定时监测血/尿糖、自费医疗比例低等有利于提高患者的QOL;负向影响以DM症状数量、餐后高血糖、DM并发症等为主,饮食控制对DM患者的心理健康有着极大的负向影响。结论采取措施控制血糖、预防和治疗并发症、通过健康教育和医疗咨询提高患者对DM生活制度的依从性和给予患者更多的精神支持是改善和提高DM患者QOL的重要手段。
Objective To quantificationally evaluate quality of life （QOL） of diabetes mellitus （DM） patients and to discuss its determinants. Methods Questionnaire cited on SF-36 instrument was designed, and a frequency-matched case-control study was conducted for a total number of 245 DM patients and 248 controls with normal glycose tolerance. Results The general health perception, physical function and mental health of DM patients had been damaged in various degrees, especially the general health perception. The proportion of patients with excellent and good QOL was 41.22%, significant lower than 56.45% of NGT group. Multivariate logistic regression analysis showed that 19 variables had positive or negative impaction on QOL. Taking medicine to lower blood glucose, termly physical check-up, fixed surveillance of blood/urine glucose and enjoying free medical insurance would be favorable to improve QOL of DM patients, while number of DM symptoms, high blood glucose after eating, DM complications were risk factors. Conclusions Control of blood glucose, prevention and treatment of DM complications, increasing compliance to DM living habits and giving more mental support through health education and consultation were important ways to improve QOL of DM patients.
出处
《疾病控制杂志》
2006年第3期251-255,共5页
Chinese Journal of Disease Control and Prevention
关键词
糖尿病
生活质量
病例对照研究
Diabetes mellitus
Quality of life
Case-control studies
