国家基本公共卫生服务规范管理下新疆阿克苏三县糖尿病患者生命质量评价  

Evaluation of life quality of diabetic patients in three counties of Aksu in Xinjiang Province,under the standard management of national basic public health services

作　　者：木日扎提·买买提 孜克娅·乃吉木 麦尔哈巴·如则 魏晶晶[1] Murizhati·MaiMaiti;ZikeyaNaijimu;Maicrhaba·Ruze;WEI Jing-jing(School of Public Health,Xinjiang Medical Univerity,Urumqi,Xinjiang 830011,China)

机构地区：[1]新疆医科大学公共卫生学院,新疆维吾尔自治区乌鲁木齐830011

出　　处：《现代预防医学》2021年第3期459-463,共5页Modern Preventive Medicine

基　　金：新疆社会科学基金项目(18BGL094);自治区卫生健康青年医学科技人才专项科研项目(WJWY—201856);新疆维吾尔自治区“十三五”重点学科(高原学科)-公共卫生与预防医学。

摘　　要：目的探讨新疆基层糖尿病患者的规范管理情况及其生命质量影响因素,为提高其生命质量及改善健康管理方式提供参考依据。方法于2019年10-12月采用多阶段随机抽样方法在新疆南疆三个县进行抽样,对国家基本公共卫生服务规范第三版(2017版)进行规范管理的940名新疆基层社区糖尿病患者,采用欧洲EQ-5D-5L量表进行生命质量评分,采用方差分析和多元线性回归,分析人口学特征及规范管理患者和自我管理后的生命质量。结果人口学特征显示,维吾尔族占比90%;年龄段高者EQ-5D评分低于年龄段低患者有统计学意义(P<0.05)。合并高血压的患者生命质量低于糖尿病患者(P<0.05),糖尿病的控制率达12.9%。规范管理率为19.1%。13条细目中,有10条细目管理规范的患者生命质量评分均高于管理不规范患者且有统计学差异P<0.05。多元线性回归结果显示,进行心理调整指导(t=-4.307,95%CI:-0.783~-0.332),糖尿病得到控制(t=6.003,95%CI:-0.660~-0.241)使焦虑/抑郁维度生命质量得到提升(P<0.001)。结论基层卫生服务机构在应加强糖尿病患者规范管理细目中能够改善生命质量的要点进行着重管理,同时应督促加强糖尿病患者的自我管理能力,提高其生命质量水平。Objective To explore the standardized management of primary diabetic patients in Xinjiang and the influencing factors of their life quality, and to provide reference for improving their quality of life and health management. Methods In October to December 2019, 940 diabetic patients who were standardized managed by National Basic Public Health Services, third edition(2017) in primary community in Xinjiang were selected by multistage random sampling method in three counties of southern Xinjiang. The quality of life was assessed by European EQ-5 D-5 L scale. The demographic characteristics, standardized management of patients and the quality of life after self-management were analyzed by variance analysis and multiple linear regression. Results Demographic characteristics showed that Uyghur accounted for 90%, EQ-5 D score of higher age group was statistically lower than that of low age group(P<0.05). The quality of life in diabetic patients with hypertension was lower than that in patients with diabetes(P<0.05), and the control rate of diabetes reached 12.9%. The standardized management rate was 19.1%. Among the 13 items, there were 10 items for standardized management of patients’ quality of life scores, which were higher than those of patients with non-standard management, and the difference was statistically significant(P<0.05). Multiple linear regression revealed that psychological adjustment guidance(t=-4.307, 95%CI=-0.783~-0.332) and diabetes control(t=6.003, 95%CI=-0.660~-0.241) improved the quality of life of anxiety/depression dimension(P<0.001). Conclusion Primary health service institutions should strengthen the standardized management of diabetic patients, focusing on the key points of improving the quality of life. At the same time, it is necessary to strengthen the self-management ability of diabetic patients, so as to improve their quality of life.

关 键 词：基本公共卫生服务规范管理 新疆 糖尿病 生命质量 

分 类 号：R587.2[医药卫生—内分泌] R197.1[医药卫生—内科学]