福州市社区卫生服务中心2型糖尿病患者生活方式与生命质量的关系  

The Relationship between Lifestyle and Quality of Life of Patients with Type 2 Diabetes in Fuzhou Community Health Service Center

作　　者：李惠萍[1] 王燕[1] 徐佳敏 汤春琳 赵峰英[1] LI Huiping;WANG Yan;XU Jiamin;TANG Chunlin;ZHAO Fengying(Department of Endocrinology,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian Province,350005 China)

机构地区：[1]福建医科大学附属第一医院内分泌科,福建福州350005

出　　处：《中外医疗》2021年第24期116-119,共4页China & Foreign Medical Treatment

基　　金：福建省卫生计生面向农村和城市社区推广适宜技术项目(2018020)。

摘　　要：目的探讨福州市社区卫生服务中心2型糖尿病患者的生活方式与生命质量的关系,为福州市社区卫生服务中心2型糖尿病患者健康教育提供理论依据。方法方便选取2018年11月—2019年2月福州市洋中社区卫生服务中心、瀛洲社区卫生服务中心、茶亭社区卫生服务中心、义州社区卫生服务中心、上海街道社区卫生服务中心等5个社区卫生服务中心收治的96例2型糖尿病患者进行问卷调查及深度访谈,收集资料,归纳总结,并通过线性回归的统计学方法,分别将世界卫生组织身心健康指数(WHO-5)幸福感指数量表与吸烟、饮酒、糖尿病自我管理行为量表(SDSCA-6)(评价规律饮食、运动、及遵医用药情况)的关系进行分析。结果所有患者幸福感普遍较低,各项的低占比均超过50%(各项幸福感低占比为61.46%、52.08%、59.38%、71.88%、57.29%);吸烟患者占比8.3%,与不吸烟的患者相比,吸烟者的幸福感指数明显降低,且与幸福感指数呈显著性负相关关系(r=-0.484、-0.363、-0.571、-0.626、-0.544,P<0.05);饮酒患者占9.4%,与不饮酒的患者相比,饮酒者的幸福感指数明显降低,且与幸福感指数呈显著性负相关关系(r=-0.329、-0.254、-0.378、-0.395、-0.272,P<0.05);SDSCA-6量表中的饮食方面、运动方面及严格遵医嘱用药方面得分为(3.74±2.38)分、(3.01±2.94)分、(5.23±2.17)分与患者幸福感指数呈显著性正相关关系(P<0.05)。结论不吸烟、不饮酒、运动、饮食及用药依从性等生活方式是社区卫生服务中心2型糖尿病患者提高幸福感指数、获得高生活质量的关键。Objective To explore the relationship between the lifestyle and quality of life of patients with type 2 diabetes in Fuzhou community health service center,and to provide a theoretical basis for health education for patients with type 2 diabetes in fuzhou community health service Center.Methods Convenient selection from November 2018 to February 2019,five community health services including Yangzhong community health service center,Yingzhou cmmunity health service center,Chating community health service center,Yizhou community health service center,and Shanghai sub-district community health service center in fuzhou city of the 96 patients with type 2 diabetes admitted to the center conducted questionnaire surveys and in-depth interviews,collected data,summarized them,and used linear regression statistical methods to compare the World Health Organization Physical and Mental Health Index(WHO-5)Happiness Index Scale and smoking,to analyze the relationship between alcohol,drinking,and diabetes self-management behavior scale(SDSCA-6)(evaluted regular diet,exercise,and compliance with medical medications).Results All patients generally had a low sense of well-being,with a low proportion of all items exceeding 50%(the proportion of low well-being being 61.46%,52.08%,59.38%,71.88%,57.29%);the proportion of smokers was 8.3%,compared with non-smokers,the happiness index of smokers was significantly lower,and there was a significant negative correlation with the happiness index(r=-0.484,-0.363,-0.571,-0.626,-0.544,P<0.05);drinkers accounted for 9.4%.Compared with non-drinking patients,the happiness index of drinkers was significantly lower,and there was a significant negative correlation with the happiness index(r=-0.329,-0.254,-0.378,-0.395,-0.272,P<0.05);the scores of diet,exercise,and strict compliance with the doctor's prescription in the SDSCA-6 scale were(3.74±2.38)points,(3.01±2.94)points,(5.23±2.17)points,there was a significant positive correlation with the happiness index of patients(P<0.05).Conclusion Non-smoki

关 键 词：社区卫生服务中心 2型糖尿病 生活方式 生命质量 护理 

分 类 号：R271.9[医药卫生—中西医结合]