大庆市社区糖尿病患者生存质量及其影响因素调查

Study on Quality of life of the Patients with Diabetes Mellitus and its Affecting Factors in Daqing Communities

[目的]评价糖尿病患者的生存质量及其影响因素,以便为糖尿病的治疗与预防提供依据。[方法]2007年,对在大庆市5个社区已确诊的2型糖尿病患者476例及480人对照,采用糖尿病患者特异的生存质量量表(SF-36)进行评价,对2组的生存质量进行对比并对影响糖尿病患者生存质量的因素进行Logistic回归分析。[结果]476例2型糖尿病患者生存质量总分为(54.35±9.11)分,总分和8个维度得分均低于对照组;患病后饮食改变、积极进行胰岛素治疗的糖尿病患者生存质量较高,有肥胖史、离退休的糖尿病患者生存质量较差。[结论]2型糖尿病患者生存质量较低,减肥、改变饮食、积极治疗、改善社会功能是提高糖尿病患者生存质量的重要措施。

[Objective]To assess the quality of life of patients with type 2 diabetes in Daqing, analyze the related affecting factors, provide scientific basis for prevention and control of the disease. [Methods]476 conformed patients with type 2 diabetes mellitus and 480 controls in S community districts of Daqing were selected in 2007 ,evaluation was conducted with SF-36 instrument. The quality of life in two groups was compared and related affecting factors were analyzed with logistic regression. [Results]The total score of quality of life of 476 patients with type 2 diabetes was （54. 35 ± 9. 11）, lower than that in controls,so were 8 domains. The quality of life was higher in patients who had changed diet habits,with effective therapy and better social function, but it was bad in fat patients and retired persons with diabetes. [Conclusion]The quality of life of patients with type 2 diabetes was bad. quality of life can be enhanced by losing weight, controlling diet, taking in effective therapy and improving social function.