2型糖尿病并发症患者的生命质量及其影响因素

The quality of life and its influencing factors among type 2 diabetes mellitus patients with complications

目的 探讨 2型糖尿病并发症患者的生命质量及其影响因素。方法 采用特异性糖尿病生命质量量表 ,调查 10 2例 2型糖尿病并发症患者的生命质量。采用非条件 L ogistic回归模型对资料进行分析。结果 2型糖尿病并发症患者生命质量普遍降低 ,年长患者的生命质量优于年轻患者。主食、荤油摄入过多 ,喜食咸味是 2型糖尿病并发症患者低生命质量的危险因素 ,OR值分别为2 .5 15、2 .16 7、1.92 0。强化治疗、适当增加业余体力活动量是其保护因素 ,OR值分别为 0 .976和0 .4 85。结论 鼓励 2型糖尿病并发症患者加强糖尿病治疗、适当增加业余体力活动 ,限制主食、荤油、盐的摄入 。

Objective To explore the quality of life and its influencing factors among type 2 diabetes mellitus(DM) patients with complications. Methods A special instrument of quality of life for diabetes mellitus was carried out and 102 type 2 DM patients with complications were tested. Data was analyzed by univariate and multivariate logistic regression. Results A general decrea se of quality of life was found in type 2 DM patients with complications, and quality of life of older patients was higher than that of younger patients. Excessive intake of staple food, lard and salt were risk factors of lower quality of life, whose odds ratios were 2.515, 2.167 and 1.920, respectively. Whereas, physical activity and intensified treatment were protective factors, whose odds ratios were 0.976 and 0.485 respectively. Conclusions It is helpful for improving quality of life of type 2 DM to restrict the intake of staple food, lard and salt, to intensify treatment and to increase level of physical activity according to their actual health status.