饮酒对我国2型糖尿病患者生命质量的影响

The Influences of Alcohol Consumption on the Life Quality of Patients with Type 2 Diabetes Mellitus in China

目的:探讨饮酒对我国2型糖尿病患者生命质量的影响。方法:基于我国5个地区2 879名2型糖尿病患者样本,对其进行EQ-5D量表健康效用值和五个维度出现问题的比例进行描述性分析,并采用Probit模型,探讨不同饮酒状态对生命质量的影响。结果:在控制混杂因素之后,相比从不饮酒患者,不论是现在饮酒(偶尔饮酒和经常饮酒)还是过去饮酒(已戒酒)患者完全健康的概率均更低,且在疼痛/不舒服和焦虑/抑郁两个维度完全健康的概率也更低;现在饮酒患者在行动、自我照顾、日常生活三个维度完全健康的概率更高,已戒酒患者在这三个维度完全健康的概率更低。结论:与从不饮酒的患者相比,饮酒的患者在行动、自我照顾与日常活动三个维度上更不容易出现问题,但是在疼痛/不舒服和焦虑/抑郁两个维度更容易出现问题,这有助于为改善糖尿病患者的健康管理提供参考。

Objective： To explore, the influences of aleohol consumption on life quality of patients with type 2 diabetes mellitus （T2DM） in China. Methods： Base on 2 879 patients with T2DM from 5 places of China, descriptive statistics was conducted on the heahh utility value and the proportion of the problems in five dimensions. It explored the influences of different alcohol consumption status on quality of life by Prohil Model. Results： After controlling confounding factors, compared with patients who never drink, others had lower prohahility in the optimal heahh state and eomplete heahh state of pain/discomfort and anxiety/depression dimensions, no matter the patients who was current drinking（oecasional drinking and frequent drinking） or drinking in the past （quit drinking）; the probability of complete heahh was higher among those who was current drinking in the mobility, self-care and usual activities dimensions, was lower among those who quit drinking. The differenee was statistically significant. Conclusion： Compared with those who never drink alcohol, drinking patients were less likely to experience problems in the three dimensions of mobility, self-care and usual activilies, but were more likely to experience prohlems in pain/discomfort and anxiety/depression dimensions.