社区60岁及以上2型糖尿病患者生命质量的问卷调查  

Factors influencing quality of life in elderly patients with type 2 diabetes in community

作　　者：唐兢[1] 杨祺[1] 李潇 吴雯雯 钮登 丁朋礼 刘志文[2] 徐文蓉[1] 徐柳慧 Tang Jing;Yang Qi;Li X iao;Wu Wenwen;Niu Deng;Ding Pengli;Liu Z hiwen;Xu Wenrong;Xu Liuhui(Changqiao Community Health Service Center of Xuhui District,Shanghai 200231,China;Department of Endocrinology,Shanghai Xuhui District Central Hospital,Shanghai 200230,China)

机构地区：[1]上海市徐汇区长桥街道社区卫生服务中心,200231 [2]上海市徐汇区中心医院内分泌科,200230

出　　处：《中华全科医师杂志》2018年第10期848-850,共3页Chinese Journal of General Practitioners

摘　　要：从2017年入选上海市公共卫生体系建设三年行动计划一社区糖尿病慢性并发症筛查项目的长桥社区2型糖尿病患者中，采用随机数字表法抽取≥60岁、病程≥3个月的1002例患者，于2018年8月行焦虑自评量表和糖尿病特异性生存质量量表（A．DQOL）问卷调查，回收有效问卷967份（96．5％）。967例中并发焦虑状态者占48．9％（473／967）；多元逐步回归分析显示，文化程度是A．DQOL的主要影响因素（P〈0．05），文化程度和空腹血糖是满意程度、影响程度得分的影响因素；文化程度、治疗方式和BMI是忧虑程度I得分的影响因素；年龄和文化程度是忧虑程度Ⅱ得分的影响因素（均P〈0．05）。提示年龄、文化程度、治疗方法、空腹血糖和BMI影响≥60岁2型糖尿病患者的生命质量。A survey on the quality of life of diabetic patients was conducted in Shanghai Changqiao community in August 2017. Total 1 002 patients with type 2 diabetes mellitus （T2DM）aged i〉60 years were randomly selected to participant in this face-to-face questionnaire survey, 967 participants completed the survey with a effective rate of 96.5%. The Anxiety Self-Rating Scale and Diabetes-Specific Quality of Life Scale （A-DQOL） were applied for evaluation. The results showed that up to 48.9%（473/967） participants had an anxiety state. Multivariate stepwise regression analysis showed that the educational level was the main influencing factor of A-DQOL （P〈0.05）. The educational level and fasting blood glucose were the influencing factors of satisfaction degree and impacting degree score; educational level, treatment mode and BMI were the influencing factors of grade I anxiety; age and educational level were the influencing factors of grade II anxiety （all P〈0.05）. The survey demonstrates that age, educational level, treatment, fasting blood glucose and BMI would affect the quality of life of elderly T2DM patients.

关 键 词：社区卫生服务 60岁及以上 糖尿病 2型 生活质量 问卷调查 

分 类 号：R587.1[医药卫生—内分泌]