2型糖尿病患者生活质量及其影响因素分析  

Analysis of Quality of Life of Patients with Type 2 Diabetes and Influencing Factors

作　　者：刘安诺[1] 李惠萍[1] 周利华[1] 郑红英[2] 沈大洋[3] 曾臻[3] 

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]安徽医科大学第一附属医院内分泌科,安徽合肥230032 [3]安徽医科大学公共卫生学院,安徽合肥230032

出　　处：《护理学报》2010年第3期74-76,共3页Journal of Nursing（China）

基　　金：安徽省自然科学基金项目(090413266X)

摘　　要：目的了解2型糖尿病患者心理状况、生活质量及其影响因素。方法对243例2型糖尿病患者采用横断面调查法,使用糖尿病患者生存质量特异性量表、抑郁自评量表,了解患者生活质量和心理状况。采用两独立样本t检验、单因素分析法和多因素分析法。结果本组患者抑郁评分是(55.56±9.68)分,高于国内常模(t=22.95,P=0.000),抑郁发生率86.4%。生活质量得分是(58.21±12.87)分,其中病程>15年者、年龄≥60岁者、有并发症者、糖化血红蛋白>7%者、下岗无业者、每天不参加体育锻炼者、重度抑郁者的生活质量得分均较高,提示其生活质量相对较差。病程、工作状态是生活质量主要影响因素(B分别是1.025、3.315)。结论糖尿病患者86.4%存在抑郁情绪,生活质量水平相对较低,病程、工作状态是生活质量主要影响因素。提示应根据病程、工作状态、年龄、并发症、日常活动等具体情况,对2型糖尿病患者提供护理干预,提高其生活质量。Objective To understand the psychological condition, quality of life and their influencing factors of patients with type 2 diabetes. Methods A cross-section study was conducted in 243 patients with type 2 diabetes for their quality of life and psychological condition through DSQL and SDS and by t-test, single factor and muhifactor analysis. Results Score of SDS was （55.56±9.68）, higher than national norm（t=22.95, P=0.000）, incidence rate of 86.4%. The score of DSQL was （58.21±12.87）, lower than those with disease course 〉15 years, complications, glycohemoglobin 〉7%, no daily exercises and those being aged ≥60 years old, unemployed and highly depressed. Course of disease and working status were the main influencing factors of quality of life of patients with diabetes （B=1.025, 3.315）. Gonclusion Course of disease and working status are the leading influencing factors for life quality. Life quality of patients＇with type 2 diabetes could be improved by nursing intervention based on patients＇ disease course, working status, age, complications and daily schedule.

关 键 词：2型糖尿病 生活质量 影响因素 

分 类 号：R587.1[医药卫生—内分泌]