锦州市230例2型糖尿病人生活质量及影响因素分析

Analysis of the Life Quality and its Predictive Factors of 230 Patients with Type 2 Diabetes in Jinzhou

目的调查锦州市2型糖尿病患者生活质量,并探讨其相关的影响因素。方法采用中文版简明健康调查量表(SF-36)对锦州市2所三甲医院门诊230例2型糖尿病患者的生活质量进行调查,并分析探讨影响患者生活质量的相关因素。结果锦州糖尿病患者得分最低的维度是生理职能(52.7±27.2),而得分最高的维度是生理功能(75.3±10.6)。生理内容综合测量得分为(273.0±37.9),心理内容综合测量得分为(272.6±33.7)。除了GH、VT、MH三个维度外,患者SF-36其它维度的得分、生理健康综合得分及心理健康综合得分均低于常模。影响患者生理健康维度的因素包括胰岛素治疗、文化程度、并发症个数、糖尿病病程、婚姻状况和年龄;影响患者心理健康维度的因素包括糖尿病病程、医疗支出方式、家庭收入、并发症个数和年龄。结论锦州糖尿病患者生活质量有待提高,胰岛素治疗、文化程度、并发症个数、糖尿病病程、婚姻状况、年龄、医疗支出方式和家庭收入影响着患者的生活质量。

Objective To investigate the quality of life （QoL） of type 2diabetic patients and analyze the associated predictors.Methods The Health Survey Scale （SF-36,Chinese version） was used to investigate the QoL and its predictors of 230 patients with type 2 diabetes from the referral centers of 2 3-A grade hospitals in Jinzhou.Results The lowest score was in the dimension of role-physical （52.7±27.2）,while the highest in physical function （75.3±10.6）.Physical component summary （PCS） and Mental component summary （MCS） scores were 273.0±37.9 and 272.6±33.7,respectively.Except for GH,VT,and MH,SF-36 scores in other dimensions,PCS,and MCS were all lower than the norm.Insulin therapy,education level,number of complications,diabetic duration,marital status and age appeared to be robust predictors of PCS domain,while diabetic duration,medical expenditure mode,family income,number of complications and age were strong indicators of MCS domain.Conclusion The QoL of diabetic patients in Jinzhou needs further improvement.Insulin therapy,education level,number of complications,diabetic duration,marital status,age,medical expenditure mode,and family income can influence the patients QoL.