社区糖尿病管理对糖尿病患者的生命质量及其影响因素分析

目的 评价社区糖尿病患者的生命质量,探讨影响糖尿病患者生命质量可能的危险因素,为改善糖尿病患者生命质量提供理论依据. 方法对新纳入社区糖尿病分级管理的310例患者,进行一般情况以及SF-36量表调查,分析影响因素,采取针对性的干预措施,1年后对管理患者重新进行生命质量调查. 结果糖尿病患者生命质量得分影响主要与总体健康、生理功能、心理健康、生命活力4个维度有关;影响患者生命质量的主要因素有：血糖控制情况、并发症、胰岛素治疗、医疗费用、性别、年龄、规律运动、纳入社区管理认可度等;通过社区糖尿病管理,并针对性干预后,糖尿病患者生命质量明显提高. 结论社区糖尿病管理可提高糖尿病患者生命质量,以社区为基础的健康促进应该成为今后社区糖尿病管理工作的重点.

Analysis of community diabetes management on life quality of diabetics and the influence factors

Objectives To evaluate the health-related quality of life among adults with diabetes in Luqiao community and explore potential risk factors jeopardizing life quality. Methods General questionnaire and SF-36 scale were used to investigate the 310 patients from Luqiao community. Risk factors were determined by first life quality examination. Patient outcomes were re-assessed after one year＇s specific interventions. Results The effect of diabetes on quality of life was mainly mirrored by overall health, physiological function, psychologically healthy and vitality. The impacting factors were age, blood sugar control situation, complication, insulin treatment, medical expense, gender, regular exer- cise and recognition of community rights. The life quality of diabetics was significantly ameliorated via community diabetes management combined with specific interventions. Conclusion Health promotion based on community should be the focus of community diabetes management in the future.