上海市两个社区糖尿病患者的生存质量及影响因素

目的]了解社区糖尿病患者的生存质量状况并探讨其影响因素，为采取干预措施及评价提供依据与基线资料。方法]从上海市浦东新区的2个社区卫生服务中心的糖尿病患者管理库中，用单纯随机抽样法共抽取300人进行面对面调查，应答率为99．0％。问卷调查糖尿病患者生存质量及影响因素，利用多因素非条件logistic逐步回归进行影响因素分析。结果]社区糖尿病患者生存质量的躯体功能、躯体角色、躯体疼痛、总体健康感、活力、社会功能、情绪角色和精神健康8个维度的得分分别为85、100、87．5、62、75、87．5、100、78分。生存质量的促进因素主要包括已婚、掌握良好的糖尿病相关知识、良好的饮食习惯和运动、血糖水平控制良好及进行健康检查；生存质量的负面因素主要包括年龄大、女性、病程长、患其他慢性病数量、相关症状数量。结论]糖尿病患者生存质量较低，需要采取综合干预措施进一步改善其生存质量，重点在于改善饮食和运动习惯、积极控制血糖水平、治疗相关合并症或并发症等。

A Study on Life Quality and Impact Factors of Diabetic Patients in Two Selected Communities of Shanghai

Objective ] To investigate diabetic patients＇ quality of life （QOL） and related impact factors in selected communities, and to provide evidence and baseline information for intervention and evaluation. Methods ] A total of 300 diabetic patients were selected by simple random sampling from management databases of 2 community health centers in Pudong New Area of Shanghai. The response rate was 99.0%. Information on QOL and related impact factors were collected by faCe-toface interview with questionnaires and analyzed by an unconditional logistic stepwise regression model. Results ] The scores of physical functioning （PF）, role physical （RP）, body pain （BP）, general health （GH）, vitality （VT）, social functioning （SF）, role emotional （RE） and mental health （MH） were 85, 100, 87.5, 62, 75, 87.5, 100 and 78 respectively. Married, understanding relevant knowledge on diabetes, good dietary and exercise habits, maintaining blood glucose level and regular health examination were the positive factors of QOL Older age, female, extensive diabetic history, with other chronic complications and having more symptoms showed negative impact on QOL. Conclusion ] The QOL is low in selected diabetic patients. Integrated intervention is necessary to improve their QOL, including improving dietary and exercise habits, controlling blood glucose level and treating complications.