新乡市洪门社区高血压和糖尿病患者生活质量现状

发布时间：2018-01-26 09:16

本文关键词： 高血压糖尿病生活质量　出处：《中国老年学杂志》2017年24期 　论文类型：期刊论文

【摘要】：目的探讨新乡市洪门社区高血压和糖尿病患者的生活质量现状及相关影响因素。方法 2016年1~12月采用整体随机抽样的方法选取洪门社区1 600名居民,通过问卷调查、现场测量和简明健康状况量表(SF-36)进行数据收集,其中300例居民确诊为高血压和(或)糖尿病患者(高血压275例、糖尿病153例、联合患病64例),另选300例非高血压、非糖尿病成人作为对照组,采用单因素和多因素Logistic回归分析其危险因素。结果高血压组、糖尿病组、联合患病组SF-36评分的各项得分均显著低于对照组(均P0.05),其中糖尿病组精力、社会功能、心理健康三项的得分低于高血压组(均P0.05),联合患病组躯体健康、精力、社会功能、心理健康四项的得分低于高血压组(均P0.05);单因素分析显示,高血压患者患病与年龄、性别、文化程度、体质量指数(BMI)、是否规律运动有关(P0.05),糖尿病患者患病与文化程度、婚姻状况、BMI、是否患高血压有关(P0.05)。女性、文化程度大学及以上、规律运动是高血压患者的保护因素,年龄65岁、BMI24 kg/m~2是其危险因素(P0.05)。文化程度大学及以上是糖尿病患者的保护因素,BMI24 kg/m~2、未婚、高血压是其危险因素(P0.05)。结论高血压和糖尿病患者的生活质量都不同程度地低于健康同龄人。采取积极锻炼和控制体重等措施能够一定程度预防高血压和糖尿病,控制血压对于预防糖尿病也有积极意义。
[Abstract]:Objective to investigate the quality of life (QOL) of patients with hypertension and diabetes mellitus in Hongmen community of Xinxiang city. Methods from 2016 to December, the whole random sampling method was used to select Hongmen community 1. 600 inhabitants. Data were collected by questionnaire survey, field measurement and SF-36. Among them, 275 patients (hypertension) were diagnosed as hypertension and / or diabetes mellitus. 153 cases of diabetes mellitus, 64 cases of combined disease, another 300 cases of non-hypertension, non-diabetic adults as the control group. Univariate and multivariate Logistic regression analysis was used to analyze the risk factors. The scores of SF-36 score in the joint disease group were significantly lower than those in the control group (all P 0.05), among which the energy and social function of the diabetes group were significantly lower than those of the control group. The scores of three items of mental health were lower than that of hypertension group (all P 0.05), and the scores of physical health, energy, social function and mental health in the combined disease group were lower than those in the hypertension group (all P 0.05). Univariate analysis showed that the prevalence of hypertension was associated with age, sex, education level, body mass index (BMI), regular exercise related to P0.05, diabetes and education. Marital status BMI, whether or not hypertension related to P0.05. female, college education and above, regular exercise is the protective factor for patients with hypertension, age 65 years old. BMI24 kg/m~2 was the risk factor, P0.050.The protective factor for diabetic patients with education level or above was BMI24 kg / mm2, unmarried. Hypertension is its risk factor (P0.05). Conclusion the quality of life of patients with hypertension and diabetes is lower than that of their healthy peers to some extent. Taking active exercise and controlling body weight can prevent hypertension and diabetes to some extent. Controlling blood pressure is also positive for preventing diabetes.
【作者单位】：新乡医学院三全学院;新乡医学院第三附属医院康复科;新乡医学院;
【基金】：2014年度河南省医学科技攻关计划项目(No.201403270)
【分类号】：R544.1;R587.1
【正文快照】： 目前发病率最高的慢性病包括心脑血管疾病、恶性肿瘤和糖尿病[1],据报道全世界每年由慢性病导致的死亡率和残疾率逐年升高,每年造成的经济损失不可估量,在欧美等发达国家,高血压、糖尿病引起的疾病负担达到总疾病负担的1.0%~4.7%[2],据国际糖尿病联盟调查,仅糖尿病所致的医疗

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