摘要
目的评价在社区采用糖尿病(DM)俱乐部的形式综合干预对生活质量的影响,分析影响生活质量的主要因素,为提高社区DM患者生活质量(QOL)提供参考依据。方法入选DM干预组患者114例和对照组患者58例,以DM俱乐部形式进行综合干预,干预前后对调查对象的基本情况和生活质量进行问卷调查,并检测空腹血糖(FBG)、糖化血红蛋白(HbA1C)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)和低密度脂蛋白(LDL)。结果经过1年的综合干预,干预组较对照组干预后各生理维度得分均有所提高,HbA1C、TC和LDL均较对照组降低(P<0.05)。多因素分析显示,影响DM患者生活质量的因素主要是年龄、文化程度、合并疾病种类、病程、经济收入和HbA1C。结论俱乐部形式的社区综合干预对DM患者生活质量产生积极影响,DM患者生活质量受多种因素影响,对这些因素加以评估和控制,可以提高DM患者的生活质量。
OBJECTIVE To evaluate the effects of the diabetes club on the quality of life for patients with diabetes, and explore the risk factors toward quality of life. Provide a basis for improving the diabetes club on the quality of life. METHODS ： 14 elderly patients and 58 elderly patients with diabetes were recruited to determine the intervention group and control group for club-based health education. Information of quality of life and related factors before and after comprehensive intervention were collected by questionnaire. Fasting blood-glucose（FBG）, glycated hemoglobin（HbAlC）, serum cholesterol（TC）, serum triglyceride（TG）, high density lipoprotein（HDL）, low density lipoprotein（LDL）were simultaneously detected. RESULTS After one year comprehensive intervention, intervention group compared with the control group, all of the mean score of the physiologic dimensional were increased HbAlC, TC and LDL were decreased （P〈0.05）. Multivariate logistic regression analysis showed that age, education, the number of combined disease, duration, economic income, HbAlc were important factors of affect the QOL in patients with T2DM. CONCLUSION The intervention in community can effectively improve the quality of life of diabetics. Many factors affect the QOL in patients with T2DM, assessment and control these factors can improve the QOL in patients with T2DM.
出处
《中国初级卫生保健》
2011年第12期81-83,共3页
Chinese Primary Health Care
基金
上海市闵行区科委基金资助(2008 MH 044)
