祖平, 施亮, 施燕, 仲伟鉴, 李锐. 上海市社区2型糖尿病患者生存质量及影响因素[J]. 环境与职业医学, 2015, 32(6): 507-514. DOI: 10.13213/j.cnki.jeom.2015.15159
引用本文: 祖平, 施亮, 施燕, 仲伟鉴, 李锐. 上海市社区2型糖尿病患者生存质量及影响因素[J]. 环境与职业医学, 2015, 32(6): 507-514. DOI: 10.13213/j.cnki.jeom.2015.15159
ZU Ping , SHI Liang , SHI Yan , ZHONG Wei-jian , LI Rui . Quality of Life and Influencing Factors in Patients with Type 2 Diabetes in Communities of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2015, 32(6): 507-514. DOI: 10.13213/j.cnki.jeom.2015.15159
Citation: ZU Ping , SHI Liang , SHI Yan , ZHONG Wei-jian , LI Rui . Quality of Life and Influencing Factors in Patients with Type 2 Diabetes in Communities of Shanghai[J]. Journal of Environmental and Occupational Medicine, 2015, 32(6): 507-514. DOI: 10.13213/j.cnki.jeom.2015.15159

上海市社区2型糖尿病患者生存质量及影响因素

Quality of Life and Influencing Factors in Patients with Type 2 Diabetes in Communities of Shanghai

  • 摘要: 目的 评价上海市社区管理的2型糖尿病患者的生存质量,探索其影响因素。

    方法 采用分层多阶段等概率抽样方法,抽取2741例上海市社区管理的2型糖尿病患者,对其基本情况、疾病情况和生存质量进行问卷调查,利用多因素非条件logistic逐步回归对生存质量影响因素进行分析。

    结果 女性1596例(占58.23%),男性1145例(占41.77%);年龄(67.70& #177;9.30)岁;病程中位数为8年,10年以上患者占36.61%;患者自报发生糖尿病慢性并发症占13.06%;患有高血压、冠心病、脑卒中相关慢性病的比例分别为63.99%、17.22%和11.57%。社区糖尿病患者生存质量的躯体功能、躯体角色、躯体疼痛、总体健康感、活力、社会功能、情绪角色和精神健康8个维度的得分分别为85、100、90、62、75、89、100、80分。生存质量的促进因素主要包括体育锻炼,对上述8个维度均有促进作用,OR值范围1.21~1.91。生存质量的负面因素主要包括:女性(对8个维度均有影响,OR值范围0.50~0.81)、患有慢性并发症/冠心病(均对6个维度有影响,OR值范围分别为0.53~0.75,0.62~0.77)及脑卒中相关慢性病(对5个维度有影响,OR值范围0.57~0.75);其他负面因素包括高龄、低文化程度、低收入。

    结论 提高糖尿病患者的生活质量需要采取综合措施,重点包括开展适当的体育锻炼、积极治疗相关合并症或并发症。

     

    Abstract: Objective To evaluate the quality of life (QOL) of patients with type 2 diabetes (T2DM) managed by community health facilities in Shanghai and its influencing factors.

    Methods Patients with T2DM (n=2 741) managed by community health facilities in Shanghai were sampled through multistage stratified sampling with equal probability. Basic information, disease condition, and QOL were investigated by a questionnaire survey. Multivariate unconditional stepwise logistic regression was applied to analyze risk factors of QOL in T2DM patients.

    Results There were 1 596 females (58.23%) and 1 145 males (41.77%) among the subjects. The average age was (67.70& #177;9.30) years. The median of disease duration was 8 years, and 36.61% patients had more than 10 years. The patients with self-reported chronic complications accounted for 13.06% of the sample. The percentages of T2DM related chronic complications including high blood pressure, coronary heart disease, and cerebral stroke were 63.99%, 17.22%, and 11.57%, respectively. The scores of physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health were 85, 100, 90, 62, 75, 89, 100, and 80, respectively. The major positive factor of QOL was regular exercises which were positive in all the eight dimensions of QOL, and the OR values ranged from 1.21 to 1.91. The major negative factor to QOL was female which was negative in eight dimensions of QOL with OR of 0.50-0.81; T2DM related chronic complications showed negative impacts on QOL in 6 dimensions, with OR of 0.53-0.75; coronary heart disease and stroke were negative in six and five dimensions of QOL, with OR of 0.62-0.77 and 0.57-0.75, respectively. Older age, low level of education, and low level of income also showed negative impacts on QOL.

    Conclusion Integrated intervention would be necessary to improve the QOL of diabetes patients, including promoting regular exercises and actively treating complications of diabetes.

     

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