上海市长宁区糖尿病患者生存质量及影响因素分析

Analysis on life quality and its influence factors among diabetes patients in Changning District of Shanghai

目的了解上海市长宁区某社区糖尿病患者的生存质量(QOL)及其影响因素,为今后在糖尿病常规管理工作中提供参考依据。方法采用以健康调查简表(SF-36)为主体的社区糖尿病患者调查问卷对新泾社区卫生服务中心在管411名糖尿病患者进行调查,数据应用SPSS 16.0软件进行χ2、Logistic回归统计分析。结果调查对象在生存质量的躯体疼痛(79.37±18.84)和社会功能(75.70±20.47)维度得分较高;在一般健康状况(47.47±15.63)和精力(65.49±16.12)维度得分较低。影响糖尿病患者生存质量生理内容综合测量得分(PCS)的主要因素有性别(OR=1.62)和有无并发症(OR=1.88),影响糖尿病患者生存质量心理内容综合测量得分(MCS)的主要因素有性别(OR=1.67)和糖尿病西医防治知晓(OR=3.38)。结论在糖尿病患者的日常管理中,重视他们的心理健康,针对性干预糖尿病认知、并发症早发现等可改变因素,对改善糖尿病患者生存质量有重要意义。

Objective To investigate the quality of life （QOL） and its influence factors of diabetes patients in a community of Changning District. Methods A total of 411 diabetes patients were investigated by the self-designed questionnaire based on the SF-36. Data were analyzed by SPSS 16. 0 software to statistical methods including x2 Logistic Regression. Results Diabetes patients got higher score on BP （79. 37 ± 18.84） and SF （75.70 ±20.47） in QOL, lower score on GH （47.47 ± 15.63） and VT （65.49± 16. 12）. The main influencing factors of PCS included gender （ OR = 1.62） and complication （ OR = 1.88）, the main influencing factors of MCS included gender （ OR = 1.67） and the awareness of diabetes prevention and treatment in western medicine （OR = 3.88）. Conclusion Emphasis on mental health, targeted health interventions, such as disease awareness and early symptoms of complication, are important to improve diabetes patients QOL during their daily management.