南昌市糖尿病患者生存质量与社区护理需求的相关性研究

目的调查南昌市糖尿病患者生存质量现状及其相关影响因素，并探讨患者生存质量与社区护理需求间的相互关系。方法选取南昌市3个社区卫生服务中心的292例糖尿病患者为调查对象，采用糖尿病患者生存质量特异性量表（DSQL）和自制社区护理需求调查表分别进行调查，并对结果进行分析。结果南昌市社区糖尿病患者生存质量较差，得分为（66．88±15．44）分；影响患者生存质量及各领域的主要因素是糖尿病并发症、并发大血管病变和糖尿病足、高血压及职业等；糖尿病患者生存质量总分及各领域得分与糖尿病疾病护理需求和社区护理总需求呈正相关关系。结论为全方位改善和提高糖尿病患者生活质量，需从影响患者生存质量的各种制约因素以及社区护理需求出发，要有针对性、有重点地开展糖尿病社区护理服务。

A study on the relationship between the quality of life and community health care demands of the diabetes patients in Nanchang

Objective To investigate the status and influencing factors of quality of life among diabetes patients in Nanehang, and to explore the relationships between the quality of life and community health care demands. Methods Totally 292 diabetes patients were recruited by multi-stage sampling method from three community health service centers in Nanchang city. They were investigated with Diabetes- specific Quality of Life Scale（DSQL） and a self-designed questionnaire of community health care demands. The results underwent analysis. Resdts The total score of the DSQL in Nanchang was（66.88±15.44） points, which was relatively poor. The main factors affected patients＇ quality of life were the complications of diabetes, diabetic macruangiopathy, diabetic foot, hypertension and patients＇ career. The total and the every dimension of the scores of the DSQL were positively corrdated with the scores of disease nursing needs and community health care demands. Conclusions To improve diabetes patients＇ quality of life, community diabetic care should focus on the different affected factors of patients＇ quality of life and the demands of patients.