中年男性糖尿病患者更年期综合征症状调查及影响因素分析  

Climacteric Syndrome of Middle-aged Male Patients with Diabetes Mellitus and Its Influence Factors

作　　者：谢翠华[1] 蒋娅[1] 孟敏[1] 何飞英[1] 方素真[1] 李际敏[1] 刘荣珍[1] 雷满霞 

机构地区：[1]南方医科大学南方医院内分泌代谢科,广东广州510515

出　　处：《护理学报》2015年第18期32-35,共4页Journal of Nursing（China）

基　　金：广东省科技计划项目(2013B022000070)

摘　　要：目的对中年男性糖尿病患者进行更年期综合征症状调查,并探讨其影响因素。方法采取单纯随机抽样原则,对广州市某三级甲等医院内分泌代谢科住院的104例中年男性糖尿病患者采用中老年男性症状问卷（the Aging Males Symptoms Scale,AMS）进行更年期综合征症状调查,采用SPSS 16.0进行数据分析。结果本组患者更年期综合征症状得分为17~60（35.00±11.13）分,表现为轻度更年期综合征症状。多元线性回归分析表明：经济收入、文化程度高低、病程长短、近3个月是否发生特殊生活事件、周围神经病变程度、腓肠神经是否损伤和糖尿病是否合并多个并发症与中年男性糖尿病患者更年期综合征症状严重程度密切相关（P〈0.05）,校正后R2=36.6%。结论糖尿病对中年男性患者更年期综合征症状的负性影响主要体现在病程及糖尿病并发症;病程越长,合并并发症越多,症状越明显;文化程度高者更年期综合征症状优于文化程度较低者;近3个月发生特殊生活事件可明显提高中年男性糖尿病患者更年期综合征症状的发生;经济收入越低,更年期症状也越明显,临床护理工作中,应结合以上各因素采取针对性对策,积极防治中年男性糖尿病患者更年期综合征症状的发生。Objective To investigate climacteric syndrome of middle-aged male diabetic patients and its influence factors. Methods With simple random sampling, 104 patients were included and investigated by the Aging Males Symptoms Scale （AMS） for physical symptoms, psychological symptoms and sexual function then the analysis of data was conducted by SPSS 16.0. Results Patients presented mild climacteric syndrome. The mean score of climacteric syndrome was 35.00 ±11.13 with the lowest and highest score of 17 and 60 respectively. Multiple linear regression analysis demonstrated that income, educational background, durations of diabetes, with special events in recent 3 months or not, diabetic peripheral neuropathy, with sural nerve damage and diabetic complications or not were related to climacteric syndrome of middle-age male diabetic patients （ P〈0.05）. Conclusion Patients with longer durations of diabetes and more than 2 complications show obvious climacteric syndrome and educated patients presented less climacteric syndrome. If there is special life event in recent 3 months, then patients get higher score of AMS and more climacteric syndrome is found in patients with fewer income. Countermeasures should be taken to prevent the occurrence of climacteric syndrome of middle-aged male diabetic patients.

关 键 词：糖尿病 中年男性 更年期综合征 影响因素 

分 类 号：R473.58[医药卫生—护理学]