2型糖尿病控制状况评价量表的应用  

Application of control status scale in type 2 diabetic patients

作　　者：赵列宾[1] 陈钦达[1] 周莹霞[1] 王琴琴[1] 苏莉珍[1] 陆骆[1] 赵红燕[1] 陈宇红[1] 徐伟人[1] 许曼音[1] 宁光[1] 

机构地区：[1]上海第二医科大学附属瑞金医院内分泌代谢病科

出　　处：《中华内分泌代谢杂志》2004年第4期318-322,共5页Chinese Journal of Endocrinology and Metabolism

基　　金：上海市教委重点学科内分泌代谢病专项经费(200344);美国强生公司糖尿病教育基金;丹麦诺和诺德公司糖尿病教育基金

摘　　要：目的研究由瑞金医院糖尿病中心设计的糖尿病控制状况评价量表(CSSD70)在评价2型糖尿病控制状况中的效用。方法分析136例2型糖尿病患者的CSSD70得分与年龄、性别、病程、文化程度、胰岛素使用、拥有的糖尿病工具、糖尿病家族史、首发症状、并发症、随机血糖、HbA1c间的关系。同时也分析CSSD70与国外量表DQOL得分的相关性,并为了了解CSSD70有效性和稳定性,在1周内两次重复测定CSSD70的得分情况。结果CSSD70与DQOL得到了基本一致的结论,但CSSD70的评价更为全面和敏感。研究中的糖尿病相关因素几乎与CSSD70各个模块间均有不同程度的关联,且CSSD70测定的稳定性好,内部各模块间的关系密切。结论CSSD70是一张能够较好反映2型糖尿病功能性健康状态,且符合中国患者病情控制需要的评价量表。Objective To investigate the effects of control status scale for diabetes (CSSD70), designed by diabetes center of Ruijin Hospital, in type 2 diabetes patients. Methods The correlations between CSSD70 and age, gender, duration of diabetes, educational backgrounds, insulin use, instruments for diabetes control, diabetes family history, symptoms at the onset of diabetes, complications, random plasma glucose and HbA_(1c) were analysed in 136 type 2 diabetes patients. The correlation between CSSD70 and another national questionnaires DQOL was analysed, and in order to determine the validity and stability of CSSD70, 30 patients were asked to complete the scales twice within one week. Results The coherent results in CSSD70 and DQOL were obtained, but CSSD70 was more comprehensive and sensitive. Almost all factors included in this study were related to CSSD70 total score and sub-scale score. The stability of CSSD70 was fine, and a close relationship between total score and sub-scale score was found. Conclusion The CSSD70 appears to be a good scale in evaluating the functional health status in type 2 diabetes, and is suitable for Chinese patients in evaluating diabetes control.

关 键 词：2型糖尿病 患者 并发症 瑞金医院 评价量表 病情控制 糖尿病家族史 敏感 关联 胰岛素 

分 类 号：R587.1[医药卫生—内分泌] R197[医药卫生—内科学]