糖尿病患者生活质量与情绪因素的调查分析

Study on The Quality of Life(QOL) and The Relative Emotional Factors in Diabetic

目的了解糖尿病患者的生活质量情况及与情绪因素的相关性。方法采用糖尿病患者特异性生活质量量表(DSQL)、汉密顿抑郁量表(HRSD)、汉密顿焦虑量表(HAMA)对58例糖尿病住院患者进行调查。结果①病程影响患者的生活质量,病程大于1年和病程小于1年的患者的生活质量之间差别有统计学意义(P<0.05),病程大于1年的患者其生活质量评分较高,生活质量较差;②情绪障碍是生活质量下降的危险因素之一,患有情绪障碍的患者与无情绪障碍之间的差异显著(P<0.05或P<0.01),患有情绪障碍的患者生活质量评分较高,具有较差的生活质量。③DSQL生理纬度与发病数目之间呈正相关(P<0.05)。结论病程和情绪障碍均可导致糖尿病患者的生活质量下降,主要是受心理因素的影响较大,临床医生应对患者心理问题进行干预和治疗,以提高患者的生活质量。

Objective To observe the relationship between the diabetic quality of life and its influencing emotional factors. Methods 58 diabetic cases were investigated by Special of Quality of Life for Diabetes Mellitus（DSQL）, Hamilton Depression Rating Scale for Depression（HRSD）, Hamilton Anxiety Rating Scale for Anxiety（HAMA）. Results ①Duration would influence the QOL, there was significant difference （P〈 0.05） in the diabetic QOL between the duration longer than 1 year and shorter than 1 year, the patients who have longer duration had higher score , had wore QOL; ②emotional disorder such as anxiety, depression was one of a risk factors in wore QOL, there was significant difference between the patients who have had emotional disorder and who hadn＇t（P 〈 0.05 orP 〈 0. 01）, the patients who had emotional disorder had higher score, had wore QOL. Conclusions Duration and emotional disorder will decrease the QOL of diabetic and mental disorder influences the QOL severely. In order to improve the QOL clinicians should enhance mental intervention and therapy.