Ⅰ型糖尿病患儿主观生活质量现状分析

Analysis on subjective quality of life among children with typeⅠ diabetes

目的探讨Ⅰ型糖尿病患儿主观生活质量现状,对影响患儿生活质量的相关因素开展分析,从而为患儿的生活质量提高提供参考依据。方法选取2016年1月至2017年12月郑州大学附属儿童医院收治的Ⅰ型糖尿病患儿80例,开展生活质量测定量表评价。结果患儿中男童43例,女童37例;年龄8～14岁,平均(10.31±1.61)岁;病程0.5～4年,平均(2.52±1.13)年;体重指数(29.04±4.05)kg/m2;糖化血红蛋白水平(9.64±2.38)%;胰岛素用量(0.88±0.25)U/d,生活质量评分为(78.14±12.66)分。不同年龄组、血糖控制水平组、治疗方案组患儿生活质量评分差异均无统计学意义(P>0.05);患儿糖化血红蛋白水平与心理社会功能和生活质量总分表现呈负相关(r=-0.33、-0.32,P <0.05)。结论糖化血红蛋白水平是Ⅰ型糖尿病患儿主观生活质量的影响因素。

Objective To explore the status of subjective quality of life among children with type I diabetes mellitus,and analyze the related factors affecting the quality of life among children,so as to provide reference for improving the life quality of children with typeⅠ diabetes mellitus. Methods A total of 80 children with typeⅠ diabetes mellitus admitted to the children’s hospital affiliated to Zhengzhou university were assessed with the quality of life scale from January2016 to December 2017. Results There were 43 males and 37 females in the study,aged 8-14 years,with an average age of(10.31±1.61)years;courses of the disease was 0.5-4 years,with an average years of(2.52±1.13)years;A the body mass index was(29.04±4.05)kg/m2,aglycosylated hemoglobin level was(9.64±2.38)%and insulin dosage was(0.88±0.25)U/d,and the quality of life score was(78.14±12.66).There was no significant difference in QOL scores among different age groups,blood glucose control level groups and treatment groups(P >0.05),and there was a negative correlation between HbA1 clevels and total scores of psychosocial function and QOL(r=-0.33,-0.32,P <0.05). Conclusion Glycosylated hemoglobin level is an influencing factor of subjective quality of life among children with type I diabetes mellitus.