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目的了解2型糖尿病住院患者生存质量的现状,并对可能影响2型糖尿病住院患者生存质量的因素进行分析。方法使用糖尿病病人特异性量表(DSQL)和社会支持量表(SSRS)、焦虑自评量表(SAS)、抑郁自评量表(SDS),对2009年3—5月从安徽省某三甲医院收集到的145例2型糖尿病住院患者进行问卷调查,对影响住院患者生存质量的因素进行分析。结果生存质量总分为(60.62±13.86)分,生理功能维度(26.39±7.51)分,心理维度(20.67±5.10)分,社会关系维度(7.17±2.66)分,治疗维度(6.39±1.89)分。单因素方差分析表明,患者生存质量的影响因素为年龄和并发症。相关分析表明,患者的生存质量与社会支持情况、焦虑和抑郁有显著相关性(r=-0.059～0.535,P<0.05)。多元逐步回归分析结果显示,病程、并发症、焦虑(SAS得分)、抑郁(SDS得分)、主观支持度等因素可能影响住院患者的生存质量。结论对糖尿病患者的疗效评价不仅要考虑客观指标(如血糖水平)的控制,更应该关注患者的精神、心理及社会功能等方面的改变。
Objective To understand the quality of life of patients with type 2 diabetes and to analyze the factors that may affect the quality of life of patients with type 2 diabetes. Methods Using DSQL and SSRS, SAS and SDS, from March to May in 2009, from the top three in Anhui Province, The hospital collected 145 cases of type 2 diabetes inpatients conducted a questionnaire survey, the factors that affect the quality of life of hospitalized patients were analyzed. Results The total quality of life (60.62 ± 13.86) points, physiological function dimension (26.39 ± 7.51), psychological dimension (20.67 ± 5.10), social relationship dimension (7.17 ± 2.66), and treatment dimension . One-way ANOVA showed that the factors affecting the quality of life of patients were age and complications. Correlation analysis showed that patients’ quality of life was significantly correlated with social support, anxiety and depression (r = -0.059-0.535, P <0.05). Multiple stepwise regression analysis showed that factors such as course of disease, complications, anxiety (SAS score), depression (SDS score) and subjective support may affect the quality of life of hospitalized patients. Conclusion The evaluation of the therapeutic effect in patients with diabetes should not only consider the control of objective indicators (such as blood glucose levels), but also should pay attention to the patients’ mental, psychological and social functions.