EQ-5D与SF-12量表在安徽省农村糖尿病患者生命质量评估中的应用

Application of EQ-5D and SF-12 scales in assessment of the quality of life in patients with diabetes in rural areas in Anhui Province

目的对比EQ-5D与SF-12量表对农村糖尿病患者生命质量评估效果,探索生命质量相关影响因素。方法采用EQ-5D与SF-12量表对安徽省农村糖尿病患者生命质量进行评估,使用多元线性回归等统计学方法对比两量表评估结果,分析生命质量影响因素。结果 EQ-5D量表具有较好的可行性与实用性,但敏感性略低于SF-12。SF-12条目与维度较多,在生命质量评价中敏感性更高。年龄、性别、文化程度、糖化血红蛋白测定值、胰岛素使用及医疗保险对糖尿病患者生命质量有不同程度的影响。结论两量表均能在一定程度上较好地反映糖尿病患者的生命质量,其评估结果是可比和互补的。

Objective To compare EQ-5D and SF-12 scales in assessment of the effect of the quality of life in pa- tients with diabetes in rural areas, and to explore the related factors of quality of life. Methods EQ-SD and SF-12 scales were selected to assess the quality of life of patients with diabetes in rural areas in Anhui Province. Multiple linear regres- sion and other statistical methods were used to compare the two scales of assessment results and analyze the impact factors of quality of life. Results EQ-SD scale had obvious advantages on the feasibility and practicality, but the sensitivity was slightly lower than the SF-12. SF-12 contained more dimensions, and had higher sensitivity in the evaluation of the quality of life. Age, gender, education level, HbAle, insulin use and medical insurance had varying degrees of impact on the quality of life of diabetic patients. Conclusions The two scales can well reflect the quality of life in patients to some ex- tent, and the assessment results are comparable and complementary.