湘西地区老年2型糖尿病患者与健康老年人生活质量的比较研究

A comparative study on the life quality of old people with and without type 2 diabetes mellitus in Xiangxi area

目的通过对湘西地区老年2型糖尿病患者的生活质量与健康老年人生活质量的比较研究,同时分析老年2型糖尿病的生活质量影响因素,为提高其生活质量提供科学依据。方法在2015年7—10月随机在湘西地区抽取符合标准的老年糖尿病患者91例为糖尿病组,同时在湘西地区随机抽取体检健康的老年人172人作为健康组。对两组老年人的生活质量采用健康调查问卷(中文版)(short form 36-questionnaire,SF-36)进行问卷调查。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果两组被调查者的年龄、民族、职业、居住方式、文化程度、经济状况对比差异均无统计学意义(均P>0.05)。健康组生活质量总分、一般健康情况、生理机能、社会功能、情感职能、生理职能、精力、生理健康维度、心理健康维度[(611.5±156.4)、(66.6±24.2)、(83.2±22.8)、(89.6±23.7)、(72.7±36.2)、(72.5±42.2)、(73.8±20.5)、(302.3±102.2)、(309.2±101.3)分]与糖尿病组[(489.1±140.7)、(39.4±20.6)、(78.9±20.4)、(86.2±24.4)、(52.3±48.9)、(42.8±45.8)、(54.6±21.1)、(231.3±91.2)、(231.3±91.2)、(257.8±98.3)分]对比差异均有统计学意义(均P<0.05),而躯体疼痛、精神健康对比差异均无统计学意义(均P>0.05)。结论相关政府部门应加强对老年2型糖尿病患者生活质量的关注,加强对老年人的健康教育,普及健康知识;加快医疗保障建设,普及糖尿病的筛查;各社区可以多组织开展各项娱乐活动,促进老年2型糖尿病患者的心理健康,从而提高其生活质量。

Objective To provide some scientific basis on improving the life quality of old people in Xiangxi area through the comparison of the life quality of old people with and without type 2 diabetes mellitus and give the analysis of factors influencing the life quality of these two kinds of people.Methods Old people with type 2 diabetes mellitus in Xiangxi area are sampled in random as the group of 91 with type 2 diabetes mellitns,and at the same time a sample 172 of old people without type 2 diabetes mellitus in Xiangxi area is drawn also in random as the group of healthy old people from July to October 2015.And then short form 36-questionnaire（SF-36） （the Chinese version） is adopted to collect data of the life quality of these two groups. Finally, Measurement data was processed by t test,count data was processed by chi sqare test,the result of P〈O.05 was considered statistically significant.Results There is no significant difference between the two groups in terms of age,nationality, occupation ,living style,educational level and economic status（all P〉0.05）.The group：life quality, general health,physical functioning,social functi0n,role-emotional,role-physical,vitality, dimensions of physical health,mental health of who without type 2 diabetes mellitus were higher than type 2 diabetes mellitus[（611.5 ± 156.4）,（66.6 ± 24.2）,（83.2 ± 22.8）,（89.6 ± 23.7）,（72.7 ± 36.2）,（72.5 ± 42.2）, （73.8 ±20.5）,（302.3 ± 102.2）,（309.2 ± 101.3）,（489.1 ± 140.7）,（39.4 ± 20.6）,（78.9 ± 20.4）,（86.2 ± 24.4）,（52.3 ±48.9）,（42.8 ± 45.8）, （54.6 ±21.1）,（231.3± 91.2）,（231.3± 91.2）,（257.8 ±98.3）]（all P〈0.05）.What＇ s more,there is no significant difference between these two kinds of people in terms of body pain and mental health（all P〉0.05）.Conclusion The relevant departments of our government should pay more attention to the life quality of elderly patients with type 2 diabetes mellitus and strengthen the education on health of the elderly and popularize health knowledge among old people.0n the other hand,the related departments should speed up the construction of medical security system,and popularize the screening of diabetes.Moreover, communities should organize all kinds of recreational activities to improve the mental condition of old people with type 2 diabetes mellitus,through which their life quality can be improved.