糖尿病肾病患者生存质量调查及与社会支持和自我医学应对能力的关系研究

Study on the Relationship between Quality of Life Survey and Social Support and Self-medical Coping Ability in Patients with Diabetic Nephropathy

目的:研究糖尿病肾病患者生存质量调查及与社会支持和自我医学应对能力的关系。方法:选取我院从2018年1月2020年1月收治的100例糖尿病肾病患者纳入研究,通过生存质量调查问卷对所有受试者的生存质量予以评估,并采用单因素、多因素Logistic回归分析明确影响糖尿病肾病患者生存质量的相关因素。此外,将所有受试者按照生存质量评分高低分成A组(≤80分)79例和B组(>80分)21例,分析不同生存质量评分患者的社会支持评分、自我医学应对能力的差异,并以Pearson相关性分析糖尿病肾病患者生存质量与社会支持和自我医学应对能力的关系。结果:经单因素分析可得:糖尿病肾病患者生存质量和年龄、病程、吸烟史、饮酒史、高血压病史、遵医嘱用药、遵医嘱饮食、运动次数有关(均P<0.05)。经多因素Logistic回归分析可得:年龄>35岁、病程>5年、有吸烟史、饮酒史、高血压病史、未遵医嘱用药、未遵医嘱饮食、运动次数≤3次/周均是糖尿病肾病患者生存质量的独立危险因素(均P<0.05)。B组患者的各项社会支持评分均高于A组患者(均P<0.05)。B组患者的宿命、逃避评分低于A组患者,其它各项自我医学应对能力评分均高于A组患者(均P<0.05)。经Pearson相关性分析发现:糖尿病肾病患者生存质量与家庭支持、朋友支持、其他人支持评分以及面对、乐观、支持、情感宣泄、姑息、依赖自我评分均呈正相关关系,而与宿命、逃避评分呈负相关关系(均P<0.05)。结论:临床工作中应加强对患者健康宣教,为其制定良好的日常生活方案,重视年龄较大以及病程较长的患者。此外,糖尿病肾病患者生存质量与社会支持和自我医学应对能力密切相关。

Objective: To study the quality of life survey and social support and self-medical coping ability in patients with diabetic nephropathy. Methods: 100 patients with diabetic nephropathy who were admitted to the hospital from January 2018 to January2020 were included in the study. The quality of life of all subjects was assessed through a quality of life questionnaire, and univariate and multivariate Logistic regression analysis was used to identify the related factors affecting the quality of life of patients with diabetic nephropathy. In addition, all subjects in accordance with the quality of life score height were divided into group A(≤80 scores) of 79 cases and group B(> 80 scores) of 21 cases, the differences in social support scores and self-medical coping ability of patients with different quality of life scores were analyzed, and Pearson correlation was used to analyze the relationship between quality of life and social support and self-medical coping ability of patients with diabetic nephropathy. Results: The univariate analysis showed that the quality of life of patients with diabetic nephropathy was related to age, disease course, smoking history, drinking history, hypertension history, take the medicine as directed by your doctor, diet as prescribed by the doctor, and frequency of exercise(all P<0.05). According to multivariate Logistic regression analysis, age > 35 years, disease course > 5 years, with smoking history, drinking history, hypertension history, not taking medication as prescribed, non-prescribed diet, and frequency of exercise ≤3 times/week were all independent risk factors for life quality of patients with diabetic nephropathy(all P<0.05). The scores of social support in group B were higher than those in group A(all P<0.05). The scores of fatalism and avoidance in group B were lower than those in group A, and the scores of other self-medical coping abilities in group B were higher than those in group A(all P<0.05). Pearson correlation analysis showed that the quality of life of diabetic nephropathy patients was positively correlated with the scores of family support, friend support, other people’s support, as well as the scores of face, optimism, support, emotional catharsis, palliation and self-dependence, while negatively correlated with the scores of fate and escape(all P<0.05). Conclusion: In clinical work, health education for patients should be strengthened, good daily living programs should be developed for them, and attention should be paid to older patients and patients with a longer course of disease. In addition, the quality of life of diabetic nephropathy patients is closely related to social support and self-medical coping ability.