接受胰岛素治疗的老年糖尿病患者生活质量调查及影响因素分析  

Investigation and analysis on the quality of life of the elderly diabetic patients with insulin therapy

作　　者：陈丽榕[1] 白姣姣[1] 冯强[2] 叶晶[1] 胡培雯 明月[1] 

机构地区：[1]复旦大学附属华东医院护理部,上海市200040 [2]复旦大学附属华东医院内分泌科,上海市200040

出　　处：《老年医学与保健》2015年第1期62-65,共4页Geriatrics & Health Care

摘　　要：目的调查接受胰岛素治疗的老年糖尿病患者生活质量现状，并探讨其影响因素。方法采用描述性研究设计，对复黾大学附属华东医院老年糖尿病患者167例进行问卷调查，进行单因素及多元逐步回归分析患者生活质量影响因素。结果接受胰岛素治疗的老年糖尿病患者生活质量不理想；不同年龄段、性别、糖化血红蛋白是否达标影响其生活质量（P〈0．05），而文化程度、体质指数、是否自我注射胰岛素则无影响（P〉0．05）。结论要加强老年糖尿病患者的健康管理，结合老年人的生理、心理特点，针对胰岛素治疗进行健康教育，进而提高治疗依从性，达到有效控制血糖、提高生活质量的目的。Objective Investigate the status of the quality of life of the elderly diabetic patients who accept Insulin Therapy and analyze the influencing factors. Methods Using descriptive study design and 167 elderly diabetic patients in a hospital in Shanghai were enrolled in questionnaires investigation. The factors that influenced the quality of life of elderly diabetic patients were analysed by univariate and multivariate stepwise regression. Results As a whole, the quality of life of the elderly diabetic patients who accept Insulin Therapy was not satisfactory. Multiple linear regression analysis showed that age, gender and HbAlc standard were the main influencing factors of the quality of life （/＇〈0.05）. While education level, BMI and whether self-injection of Insulin did not significantly influence the quality of life （P〉0.05）. Conclusions We should improve the health management and education of the elderly diabetic patients focusing on the Insulin Therapy and combining the physiological and psychological characteristics of the elderly, to improve the therapy compliance, ef- fectively control blood sugar and raise the quality of life.

关 键 词：老年 糖尿病 胰岛素治疗 生活质量 

分 类 号：R587.1[医药卫生—内分泌]