老年2型糖尿病患者低生存质量相关危险因素Logistic回归分析及防控措施

Logistic regression analysis of low survival quality related risk factors in elderly patients with type 2 diabetes mellitus and prevention and control measures

目的探讨老年2型糖尿病患者低生存质量相关危险因素及防控措施。方法选取该院2013年1月至2015年6月收治的老年2型糖尿病患者236例,根据其生存质量情况分为低生存质量组与高生存质量组,分析影响患者生存质量的危险因素并制订防控措施。结果低生存质量组年龄>70岁、有家族史、不良饮食习惯、有并发症、血糖控制差、睡眠质量差等构成比明显高于高生存质量组,差异有统计学意义(P<0.05);两组患者性别、病程、是否抽烟及锻炼情况等方面比较,差异无统计学意义(P>0.05);经多因素Logistic回归分析,年龄>70岁(OR=2.876)、有家族史(OR=3.426)、饮食习惯差(OR=2.217)、有并发症(OR=3.235)、血糖控制差(OR=2.723)、睡眠质量差(OR=1.276)均为老年2型糖尿病患者生存质量降低的危险因素。结论影响老年2型糖尿病患者低生存质量相关因素较多,临床应根据患者自身特点,给予饮食指导、心理干预、合理锻炼等防控措施,以提高患者生存质量。

Objective To investigate the low survival quality related risk factors in elderly patients with type 2 diabetes mellitus（T2DM）and their prevention and control measures.Methods Two hundred and thirty-six cases of elderly T2DM treated in our hospital from January 2013 to June 2015 were selected and divided into the low survival quality group and high survival quality group according to the survival quality.The risk factors affecting the survival quality were analyzed,and the prevention and control measures were formulated.Results The age more than 70 years old,family history,poor dietary habits,complications,poor blood glucose control,poor sleep quality and so on in the low survival quality group were significantly higher than those in the high survival quality group,the differences were statistically significant（P〈0.05）,while there were no statistically significant differences in the aspects of gender,disease duration,smoking and exercise had no statistical difference between the two groups（P〉0.05）.The multivariate Logistic regression analysis found that the age〉70 years old（OR=2.876）,family history（OR=3.426）,poor dietary habits（OR=2.217）,complications（OR=3.235）,poor blood glucose control（OR=2.723）and poor sleep quality（OR=1.276）were the risk factors for the decrease of survival quality in elderly patients with T2DM.Conclusion There are many factors affecting low survival quality in elderly patients with T2 DM,clinic should give the prevention and control measures of dietary guidance,psychological intervention and reasonable exercise according to their own characteristics in order to improve their survival quality.