社区2型糖尿病患者生活质量状况及影响因素分析  

Analysis of the quality of life and influencing factors of community patients with type 2 diabetes

作　　者：陈一郡[1] 宋兵福[1] 陈志敏[2] 劳志美 邵霞萍[4] 

机构地区：[1]上海市杨浦区精神卫生中心,200090 [2]上海市杨浦区四平社区卫生服务中心 [3]上海市杨浦区定海社区卫生服务中心 [4]上海市杨浦区延吉社区卫生服务中心

出　　处：《四川精神卫生》2015年第1期57-60,共4页Sichuan Mental Health

摘　　要：目的调查社区2型糖尿病患者的生活质量状况并探讨其影响因素。方法采用单纯随机抽样法从上海市杨浦区三个社区抽取210名糖尿病患者(研究组),采用健康状况量表(SF-36)、社会支持评定量表(SSRS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、家庭功能评定量表(FAD)对患者进行评定,并与210例健康人群(对照组)进行对照。结果研究组SF-36的躯体健康所致的角色限制(RP)、总体健康感(GH)、社交功能(SF)、心理健康(MH)及生活质量总评分(SF-36)与对照组比较差异有统计学意义(P<0.05或0.01);多因素逐步回归分析显示影响患者生活质量的主要因素依次为SAS、SDS、有无并发症、FAD(P<0.01)。结论社区2型糖尿病患者的生活质量较差,焦虑抑郁等负性情绪、并发症的发生、家庭功能障碍是影响患者生活质量的重要因素,在社区康复过程中应予以重视。Objective To investigate the quality of life in community patients with Type 2 Diabetes and explore its influencing factors. Methods 210 patients with Type 2 Diabetes( research group) in three communities of Yangpu District were selected by random number table,and a assessment was conducted with SF-36,SSRS,SAS,SDS and FAD,and compared with 210 healthy peoples( control group). Results The factor scores of SF-36 of research group were lower than those of control group. In particular,the role of physical health due to restrictions( RP),general health perceptions( GH),social functioning( SF),mental health( MH) and total score of SF-36 compared with the control group,there were significant differences( P < 0. 05 or 0. 01). The main factors that effect the quality of life of Community Patients with Type 2 Diabetes are SAS and SDS scores,complication and FAD scores( P < 0. 01).Conclusion The quality of life of community Patients with Type 2 Diabetes is low,Anxiety,depression and other negative emotions,complications,quality of family functioning may affect the quality of life of patients,more attention should be paid to in the community in the rehabilitation process.

关 键 词：2型糖尿病 生活质量 社区 影响因素 

分 类 号：B844.3[哲学宗教—发展与教育心理学]