糖尿病高危足患者生存质量与疾病不确定状况及其相关性

Correlation between life quality and disease uncertainty of patients with high risk of diabetic foot

目的了解糖尿病高危足患者生存质量与疾病不确定感状况,并探讨两者之间的相关性。方法采用便利抽样法选择本院235例糖尿病高危足患者,采用Ⅱ型糖尿病患者生活质量评定量表(quality of life scale for patients with Type 2diabetes mellitus,DMQLS)和疾病不确定感量表(Mishel uncertainty in illness scale,MUIS)进行测评。结果糖尿病高危足患者生存质量总分为(138.04±7.32)分,处于较高水平,各维度得分由高至低分别为:心理维度、生理维度、社会维度、疾病维度、满意维度;糖尿病高危足患者疾病不确定感总分为(100.09±6.89)分,处于中等水平,各维度得分由高至低分别为:不可预测性、不明确性、复杂性、信息缺乏;经Pearson相关分析显示,糖尿病高危足患者疾病不确定感总分及4个维度与生存质量总分呈负相关(均P<0.05)。结论糖尿病高危足患者生活质量状况总体较差,疾病不确定感处于中等水平,其生存质量与疾病不确定感呈负相关,降低患者疾病不确定感有利于促进其生存质量的提高。

ObjectiveTo investigate the relationship between the life quality and the disease uncertainty of the patients with high risk of diabetic foot.Methods The data of 235 patients with high risk of diabetic foot were selected by the convenience sampling method,using the life quality scale for patients with type 2 diabetes mellitus（DMQLS revised edition）and the uncertainty of disease scale（MUIS）.Results The total score on life quality in the diabetic patients with high risk was（138.04±7.32）,which was at a high level.The psychological dimension ranked on the top in terms of the score,following by physiological dimension,social dimension,disease dimension and satisfaction dimension.The overall score on the uncertainty was（100.09±6.89）,which was at intermediate level.The dimension of unpredictability ranked on the top,followed by uncertainty,complexity and lack of information.Pearson correlation analysis showed that the uncertainty together with its four dimension was negatively related with quality of life（all P0.05）.Conclusions The life quality in the patients with high risk of diabetes is generally poor and their sense of uncertainty is at the moderate level.The quality of life is negatively correlated with the uncertainty of disease.So reducing the disease uncertainty is helpful for the improvement of the quality of life.