持续皮下胰岛素泵治疗的糖尿病患者的生活质量及影响因素调查  

Investigation of quality of life and related factors in diabetic patients treated with continuous subcutaneous insulin pump

作　　者：张虹[1] 杨晓飞[1] 苏恒[1] 关守萍[1] 欧杨[1] Zhang Hong;Yang Xiaofei;Su Heng;Guan Shouping;Ou Yang(Department of Endocrinology, the First People's Hospital of Yunnan Province, Kunming 650031, China)

机构地区：[1]云南省第一人民医院内分泌科,昆明650031

出　　处：《国际护理学杂志》2019年第2期170-173,共4页international journal of nursing

基　　金：云南省重点专科内设研究机构科研项目(云卫医政发【2014】19号文).

摘　　要：目的了解持续皮下胰岛素泵(Continuous Subcutaneous Insulin Infusion,CSII)治疗患者的生活质量及其影响因素。方法采用糖尿病知识问卷和生活质量特异性测定量表(Diabetes Quality of Life Specificity Scale,DSQL)对2016年10月~2017年4月在该院糖尿病持续皮下胰岛素泵治疗患者80例进行问卷调查。结果持续皮下胰岛素泵治疗患者生活质量受损程度依次为心理/精神维度、生理功能维度、治疗维度、社会关系维度;持续皮下胰岛素泵治疗患者生理功能维度得分高于常模,差异有统计学意义(P<0.05);心理/精神维度得分和治疗维度得分均低于常模,差异有统计学意义(均P<0.05);社会关系维度得分和生活质量总分与常模比较,差异均无统计学意义(均P>0.05);持续皮下胰岛素泵治疗患者生活质量与胰岛素使用年限成显著负相关关系,差异有统计学意义(P<0.05)。结论持续皮下胰岛素泵治疗能显著提高糖尿病患者心理/精神维度和治疗维度的生活质量。Objective To investigate the quality of life and its influencing factors in patients undergoing Continuous Subcutaneous Insulin Infusion(CSII). Methods A total of 80 patients with continuous subcutaneous insulin pump were investigated by using the diabetes knowledge questionnaire and Diabetes Quality of Life Specificity Scale (DSQL). Results The degree of quality of life impairment of patients treated with continuous subcutaneous insulin pump was successively psychological/spiritual dimension,physiological function dimension,therapeutic dimension and social relationship dimension.The score of physiological function dimension of patients treated with continuous subcutaneous insulin pump was higher than norm,and the difference was statistically significant(P<0.05).The scores of psychological/spiritual dimension and treatment dimension were lower than norm,and the difference was statistically significant(P<0.05).The score of social relationship dimension and total quality of life were compared with norm model,and the differences were statistically significant(P<0.05).There were no statistically significant differences in scores of social relationship dimensions and total scores of quality of life compared with norms(P>0.05).There was a significant negative correlation between the quality of life of patients treated with CSII and the duration of insulin use,and the difference was statistically significant(P<0.05). Conclusions CSII treatment can significantly improve the quality of life of patients with diabetes in psychological(mental )dimensions and therapeutic dimensions.

关 键 词：糖尿病 胰岛素泵 生活质量 相关性 

分 类 号：R473.5[医药卫生—护理学]