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目的评价2型糖尿病(T2DM)患者生命质量(QOL)并分析其影响因素。方法采用多阶段分层随机抽样方法,抽取623名T2DM患者,使用中文版SF-36量表评价QOL,并分析QOL影响因素。结果 623名T2DM患者平均年龄(67.9±8.0)岁,患病年限中位数为7.0年;生命质量总评分为(115.3±15.4)分,得分率76.4%;男性患者QOL高于女性,不同年龄、不同文化程度以及不同家庭人均收入水平患者QOL不同;合并不同种数的慢性并发症,无论是各维度QOL还是总QOL评分均不同;伴发不同种数其他慢性非传染性疾病(NCDs),除精神健康维度外,各维度QOL和QOL总评分不同;二分类非条件Logistic回归分析提示性别、年龄及并发症种数为T2DM患者QOL影响因素。结论 T2DM患者QOL低,影响因素广,但可通过控制慢性并发症等可控因素来提高患者QOL。
Objective To evaluate the quality of life (QOL) in patients with type 2 diabetes mellitus (T2DM) and analyze its influencing factors. Methods Totally 623 patients with T2DM were enrolled in this study. The Chinese version of SF-36 scale was used to evaluate QOL and the influencing factors of QOL were analyzed by stratified random sampling. Results The average age of 623 T2DM patients was (67.9 ± 8.0) years old with a median of 7.0 years of life. The total quality of life score was (115.3 ± 15.4) points, with a score of 76.4%. The QOL of male patients was higher than that of women and different ages , Different literacy levels and per family income levels of different families of patients with different QOL; combined different types of chronic complications, regardless of the dimensions of QOL or total QOL scores are different; with a different number of other chronic non-communicable diseases (NCDs) In addition to the mental health dimension, the QOL and QOL total scores were different in all dimensions; the non-conditional Logistic regression analysis showed that the gender, age and the number of complications were the influencing factors of QOL in T2DM patients. Conclusions Patients with T2DM have low QOL and a wide range of influencing factors, but QOL can be improved by controlling such factors as chronic complications.