2型糖尿病患者自我护理能力、合并症与生存质量的相关性研究

Study on correlation between self-care,complications and quality of life in patients with type 2 diabetes mellitus

目的调查2型糖尿病(T2DM)患者自我护理、合并症和生存质量状况之间的关系。方法通过制定自我护理能力测定量表(ESCA)和糖尿病特异性生存质量量表(DSQL)对T2DM患者进行问卷调查,最后进行统计学分析。结果 118例有效患者的ESCA总分为(108.36±21.94)分,且低、中、高水平分别占2.54%,64.41%,33.05%。DSQL总分为(69.95±9.74)分,其中影响生存质量的主要是生理和心理维度。Pearson相关性分析显示,患者自我护理能力与其生存质量呈正相关。伴合并症的患者相对于无合并症患者,生存质量条目比值明显较高(P<0.05)。结论 T2DM患者的护理干预应重视提升患者的自我护理能力,加强其对合并症的正确认识,降低合并症发生率,从而改善患者的生存质量。

Objective To investigate the correlation between self-care,complications and quality of life（QOL） in patients with type 2 diabetes mellitus（ T2DM）. Methods A total of 120 patients with T2DM were selected and given questionnaires by self-made exercise of self-care agency scale（ESCA） and diabetes specificity quality of life scale（ DSQL）. Results The total self-care capacity score of 118 effective patients was（108.36±21.94） points,and those with low-,moderate-and high-level of ESCA accounted for 2.54%,64.41% and 33.05%,respectively.Total DSQL score of patients was（69.95±9.74） points,and was mainly influenced by the physiological and psychological dimensions. Pearson correlation analysis indicated that patients＇ selfcare capacity was positively associated with their QOL. Patients with complications had higher ratio of QOL projects than those without complications（P〈0.05）. Conclusion In nursing interventions for patients with T2DM,more attention should be paid on promoting patients＇ selfcare capacity and enhancing their cognition on complications,so as to reduce the occurrence of complications to promote their QOL.