2型糖尿病患者生存质量影响因素分析

目的探讨2型糖尿病患者生存质量的影响因素,为改善2型糖尿病患者的生存质量,制定合理措施提供参考。方法采用糖尿病特异性生存质量量表（CN-ADDQoL）对697例2型糖尿病患者的生存质量进行测评,采用结构方程模型探讨其生存质量的影响因素。结果对模型进行拟合的结果显示,2型糖尿病患者的生存现状对其生存质量的影响差异有统计学意义（P〈0.05）,该因子所对应的年龄、职业、收入、病程、医疗费用、患病状态、并发症和生活事件等8个因素影响2型糖尿病患者的生存质量（P〈0.05）。年龄越大、脑力劳动和高紧张度工作岗位、收入较高、病程较长、医疗费用越高、合并并发症以及刺激性生活事件较多的患者,生存质量较差。结论2型糖尿病患者应该尽量避免高强度脑力劳动和紧张程度高的职业活动,积极进行有效地治疗,防止并发症的出现,保持积极乐观的心态。

Structural equation model for studying factors influencing quality of life of type 2 diabetes mellitus

Objective To study factors influencing quality of life of type 2 diabetes mellitus in order to provide reference for making reasonable measures of improving their quality of life.Methods Quality of life of 697 subjects with type 2 diabetes mellitus was evaluated by Chinese normal audit diabetes-dependent quality of life(CN-ADDQOL),and structural equation model was used to study factors influencing quality of life of type 2 diabetes mellitus.Results 8 factors including age,occupation,earning,course of disease,expenditure on disease,phase of disease,complications and life event,had statistical significance(P<0.05)and influenced quality of life of type 2 diabetes mellitus.Patients with older age,intense brainwork,tense occupation,high earning,long course of diseases,high expenditure on disease,complication and irritant life event,had poorer survival quality.Conclusion It is very necessary for type 2 diabetes mellitus to avoid intense brainwork and tense occupation,take in effective therapy,prevent complications,and keep optimistic attitude in order to improve survival quality.