重庆城乡2型糖尿病患者生命质量及其影响因素分析

发布时间：2018-02-14 16:34

本文关键词： 型糖尿病城乡生命质量影响因素生命质量特异性量表　出处：《上海交通大学学报(医学版)》2016年06期 　论文类型：期刊论文

【摘要】：目的调研重庆城乡地区糖尿病患者生命质量情况,探讨城乡间糖尿病患者生命质量的影响因素,为提高糖尿病患者的生命质量提供依据。方法采用多阶段整群随机抽样获得2型糖尿病患者496例,运用一般情况调查表和糖尿病患者生命质量特异性量表(DSQL)进行生命质量测评。采用单因素分析和多元线性回归分析城乡各维度生命质量影响因素。结果 2型糖尿病患者生命质量平均(62.80±14.47)分,农村患者生命质量低于城镇患者(P0.01),受损程度从高到低依次为心理/精神、生理功能、社会关系和治疗维度。城乡患者在生理功能、心理/精神和社会关系维度存在差异(P0.01)。单因素分析和多元线性回归分析结果显示,城镇2型糖尿病患者生命质量总分与病程(β=0.169,P=0.004)、文化程度(β=-0.105,P=0.043)和人均月收入(β=-0.126,P=0.007)有关,农村2型糖尿病患者生命质量总分与性别(β=0.157,P=0.040)、人均月收入(β=-0.116,P=0.025)有关。结论重庆城镇2型糖尿病患者生命质量较农村患者好。针对城乡患者生命质量的不同影响因素,应有针对性地开展干预,从而提高患者生命质量。
[Abstract]:Objective to investigate the quality of life (QOL) of diabetes mellitus patients in urban and rural areas of Chongqing, and to explore the influencing factors of the quality of life in urban and rural diabetic patients. Methods 496 patients with type 2 diabetes mellitus were selected by multi-stage cluster random sampling. The quality of life (QOL) was evaluated by general situation questionnaire and quality of life specificity scale (DSQL) of diabetes mellitus patients. Single factor analysis and multiple linear regression analysis were used to analyze the influencing factors of quality of life in urban and rural areas. Results Type 2 sugar was used to measure the quality of life. The mean quality of life (QOL) of patients with urinary diseases was 62.80 卤14.47, The quality of life of rural patients was lower than that of urban patients (P 0.01), and the degree of damage from high to low was psychological / mental, physiological, social and therapeutic dimensions. There were significant differences in the dimensions of psychological / spiritual and social relations (P 0.01). The results of univariate analysis and multiple linear regression analysis showed that the total score of life quality of type 2 diabetes patients in urban areas was related to the course of disease (尾 -0.169), educational level (尾 -0.105) and per capita monthly income (尾 -0.126 P 0.007). The total quality of life (QOL) score of type 2 diabetic patients in rural areas was related to sex (尾 -0.157) and per capita income (尾 -0.116). Conclusion the quality of life of type 2 diabetes patients in Chongqing is better than that in rural areas. Intervention should be carried out in order to improve the quality of life of patients.
【作者单位】：重庆医科大学公共卫生与管理学院医学与社会发展研究中心;美国杜克大学全球健康研究所;
【基金】：美国杜克大学国际合作项目(X7383)~~
【分类号】：R587.1

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