上海朱泾镇农村老年高血压合并糖尿病患者生存质量及影响因素分析  

Quality of life and influencing factors in elderly patients with hypertension combined with diabetes in rural area of Zhujing Community,Shanghai

作　　者：王丽楠 王通 詹嘉慧 李俊 陈磊 WANG Linan;WANG Tong;ZHAN Jiahui;LI Jun;CHEN Lei(Department of Prevention and Health Care of Zhujing Community Health Service Center of Jinshan District,Shanghai 201599,China)

机构地区：[1]上海市金山区朱泾社区卫生服务中心预防保健科,上海201599

出　　处：《上海医药》2024年第18期36-40,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市社区卫生协会2021年社区科研项目(课题编号:SWX21M15)。

摘　　要：目的:分析上海朱泾镇农村老年高血压合并糖尿病患者的生存质量及其影响因素,为改善农村老年高血压合并糖尿病患者生存质量提供依据。方法:采用随机数字法在辖区的慢性病管理系统中抽取截止2022年6月30日仍在管理的60岁以上农村老年高血压合并糖尿病患者共200例。其中男性79例,平均年龄(70.42±5.07)岁;女性121例,平均年龄(69.10±4.99)岁。采用《简明健康调查量表(SF-36)》了解患者生存质量,分析影响生存质量的因素。结果:农村老年高血压合并糖尿病患者生存质量的生理健康平均得分为(265.17±81.71)分,心理健康平均得分为(283.61±73.01)分。女性、农民、丧偶、心理调适差、遵医行为差、空腹血糖高值、收缩压高值和舒张压高值的患者生存质量的生理健康得分相对较低;女性、体质量指数≥24 kg/m2、心理调适差、遵医行为差、空腹血糖高值、收缩压高值和舒张压高值的患者心理健康得分相对较低,差异均有统计学意义(P<0.05)。结论:应针对不同特征的人群,采取不同的干预措施,以提高老年高血压合并糖尿病患者的生存质量。Objective:To analyze the quality of life and influencing factors in rural elderly patients with hypertension combined with diabetes in Zhujing Community of Jinshan District,Shanghai,and provide the basis for improving quality of life for rural elderly patients with hypertension combined with diabetes.Methods:A total of 200 rural elderly patients over 60 years old with hypertension combined with diabetes who were still under management in the chronic disease management system of the jurisdiction on June 30,2022 were selected by using a simple random sampling method,among them,there were 79 male cases with the average age of(70.42±5.07)years;there were 121 female cases with the average age of(69.10±4.99)years.“The concise health survey scale(SF-36)”was conducted to understand the quality of life and analyze the influencing factors of the quality of life.Results:The average score of physiological health was(265.17±81.71)and average score of mental health(283.61±73.01)of the quality of life in rural elderly patients with hypertension combined with diabetes.The scores of women,farmers,widows,poor psychological adjustment,poor compliance behavior,high fasting blood glucose,high systolic blood pressure and high diastolic blood pressure had a lower total quality of life score;women,BMI≥24 kg/m2,poor psychological adjustment,poor compliance behavior,high fasting blood glucose,high systolic blood pressure and high diastolic blood pressure had lower mental health scores,and the difference was statistically significant(P<0.05).Conclusion:Different intervention measures should be taken according to different characteristics of the population to improve the quality of life of rural elderly patients with hypertension combined with diabetes.

关 键 词：高血压合并糖尿病 高血压 糖尿病 老年 生存质量 

分 类 号：R544.1[医药卫生—心血管疾病]