社区60岁及以上2型糖尿病患者生命质量的问卷调查
Factors influencing quality of life in elderly patients with type 2 diabetes in community
从2017年入选上海市公共卫生体系建设三年行动计划-社区糖尿病慢性并发症筛查项目的长桥社区2型糖尿病患者中,采用随机数字表法抽取≥60岁、病程≥3个月的1 002例患者,于2018年8月行焦虑自评量表和糖尿病特异性生存质量量表(A-DQOL)问卷调查,回收有效问卷967份(96.5%).967例中并发焦虑状态者占48.9%(473/967);多元逐步回归分析显示,文化程度是A-DQOL的主要影响因素(P<0.05),文化程度和空腹血糖是满意程度、影响程度得分的影响因素;文化程度、治疗方式和BMI是忧虑程度Ⅰ得分的影响因素;年龄和文化程度是忧虑程度Ⅱ得分的影响因素(均P<0.05).提示年龄、文化程度、治疗方法、空腹血糖和BMI影响≥60岁2型糖尿病患者的生命质量.
更多A survey on the quality of life of diabetic patients was conducted in Shanghai Changqiao community in August 2017.Total 1 002 patients with type 2 diabetes mellitus (T2DM)aged ≥60 years were randomly selected to participant in this face-to-face questionnaire survey,967 participants completed the survey with a effective rate of 96.5%.The Anxiety Self-Rating Scale and Diabetes-Specific Quality of Life Scale (A-DQOL) were applied for evaluation.The results showed that up to 48.9%(473/967) participants had an anxiety state.Multivariate stepwise regression analysis showed that the educational level was the main influencing factor of A-DQOL (P<0.05).The educational level and fasting blood glucose were the influencing factors of satisfaction degree and impacting degree score;educational level,treatment mode and BMI were the influencing factors of grade Ⅰ anxiety;age and educational level were the influencing factors of grade Ⅱ anxiety (all P<0.05).The survey demonstrates that age,educational level,treatment,fasting blood glucose and BMI would affect the quality of life of elderly T2DM patients.
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