糖尿病足患者疼痛评分与生存质量的相关分析  

Correlation analysis between pain score and quality of life in patients with diabetic foot

作　　者：朱慧娟 何芳[2] 马小艳 王颖 李慧娟 吴佳轩 Zhu Huijuan;He Fang;Ma Xiaoyan;Wang Ying;Li Huijuan;Wu Jiaxuan(Department of Endocrinology,Air Force Medical Center,PIA,Beijing 100142,China;Department of Endocrinology,Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]空军特色医学中心内分泌科,北京100142 [2]北京协和医院内分泌科,100730

出　　处：《中华现代护理杂志》2018年第34期4185-4188,共4页Chinese Journal of Modern Nursing

摘　　要：目的了解糖尿病足患者疼痛和生存质量状况,探讨疼痛评分与生存质量的相关性。方法采用便利抽样法,选取2017年1—11月就诊于北京市某部队三级甲等医院内分泌科的糖尿病足患者115例为研究对象。采用一般资料调查表、数字疼痛评分法(NPRS)和糖尿病患者生存质量特异性量表(DSQL)对其进行调查。正态分布的计量资料相关性分析采用Pearson相关分析,非正态分布的计量资料相关性分析采用Spearman相关分析。结果115例糖尿病足患者疼痛总分为(5.29±1.86)分,DSQL量表总分为(53.69±16.78)分;≥60岁组的患者疼痛评分、生存质量总分及心理维度评分均高于<60岁组的患者,差异具有统计学意义(P<0.05);糖尿病足患者疼痛评分与生存质量总分及其各维度评分间均存在正相关(P<0.01)。结论糖尿病足患者的特殊疼痛是降低其生活质量的重要因素,为改善糖尿病足患者生存质量,应积极对疼痛因素进行对症处理和护理干预。Objective To explore the status quo of pain and quality of life in patients with diabetic foot and to discuss the correlation between pain score and quality of life. Methods Totally 115 patients with diabetic foot treated in the Department of Endocrinology of a military Class III Grade A hospital in Beijing between January and November 2017 were selected by convenient sampling, and investigated with the general information questionnaire, Numerical Pain Rating Scale (NPRS) and Diabetes Specific Quality of Life Scale (DSQL) . Pearson correlation analysis was used for the quantitative data which conformed to normal distribution, while Spearman correlation analysis was used for the quantitative data which did not conform to normal distribution. Results The total pain score of the 115 patients with diabetic foot was (5.29±1.86) , and the total DSQL score was (53.69±16.78);the pain score, the total score of quality of life and the score in the psychological dimension in the patients aged 60 or above were higher than those in the patients aged under 60 (P<0.05);pain score was positively correlated with the total score of quality of life and the scores in different dimensions (P<0.01) . Conclusions Diabetic foot specific pain is an important factor reducing the patients' quality of life. The pain factor shall be treated positively with nursing interventions to improve the quality of life in patients with diabetic foot.

关 键 词：糖尿病足 疼痛 生存质量 相关性 

分 类 号：R473.5[医药卫生—护理学]