社区规范化管理糖尿病患者生存质量调查分析

Investigation and analysis on quality of life of standardized management for diabetes in communities

目的了解社区规范化管理糖尿病患者生存质量的影响因素,为指导健康管理和综合干预提供依据。方法在福州市按分层随机抽样法,抽取确诊的规范化管理糖尿病患者。用糖尿病生存质量量表(DSQL)对1 184人进行问卷调查,并对血糖进行监测。结果 1 184例患者生存质量总评分为(49.5±10.3)分;在生存质量4个维度(比值)中,影响程度依次为心理维度(2.1)、社会维度(1.9)、生理维度(1.7)和治疗维度(1.6)。并发症、高血脂、肥胖、高血糖和女性等是生存质量的主要影响因素。结论采取以社区为主的综合干预措施,注重心理干预,控制患者高血压、高血脂、高血糖和体重,减少并发症,是提高社区糖尿病患者生存质量的重要措施。

Objective To study the quality of life of diabetes and its influencing factors in communities in Fuzhou for the health management and comprehensive intervention for the disease.Methods By stratified random sampling in Fuzhou City,totally 1 184 diabetes patients with standardized management were investigated by the questionnaire of diabetes quality of life scale(DSQL)and the blood sugar was examined.Results The mean score of DSQL for 1 184 cases was 49.5±10.3.In the four dimensions of life quality,the impact degrees in sequence were as follows:psychological dimension(2.1),social dimensions(1.9),physiological dimension(1.7)and therapeutic dimensions(1.6).The main influencing factors of the life quality were complication,high blood lipid,obesity,high blood glucose and female,et al.Conclusion Adopting community based comprehensive intervention measures,paying attention to the psychological intervention,controlling patient′s high blood pressure,high blood lipid,high blood glucose,the body weight and the complication,these are important measures for improving the patient′s quality of life.