社区糖尿病患者生命质量及健康促进生活方式研究

目的 通过调查了解社区2型糖尿病患者的生命质量及健康促进生活方式,为科学开展健康干预提供参考依据。方法 于2017年8－10月对某社区117名2型糖尿病患者进行问卷调查,收集患者一般情况、患病情况,并采用SF-36量表及健康促进生活方式量表(HPLP)调查患者生命质量及健康促进生活方式信息,分析患者的生命质量、健康促进生活方式得分及关系。结果 117例调查对象生命质量总分为(620.09±113.95)分,各维度得分由高到低依次为:生理职能(87.39±26.99)分、生理功能(85.98±13.59)分、社会功能(85.47±17.88)分、活力(82.91±29.88)分、情感职能(75.21±15.91)分、精神健康(74.94±15.63)分、躯体疼痛(66.47±17.67)分、总体健康(61.71±16.88)分。健康促进生活方式总分得分率为62.61%,各维度由高到低依次为:营养行为72.02%、人际支持行为62.61%、生命欣赏行为61.54%、健康责任行为61.0%、压力处置行为60.85%、运动行为60.75%。 经逐步回归分析,在调整了年龄和其他慢性疾病的影响后,生命欣赏行为(β=6.388,P=0.008)和运动行为(β=5.298,P=0.024)与社区2型糖尿病患者生命质量正相关。结论 社区2型糖尿病患者健康促进行为执行不理想;运动行为及生命欣赏行为影响社区2型糖尿病患者生命质量,应采取健康教育干预重点提高运动行为及乐观心态。

Quality of life and health-promoting lifestylesamong diabetic patients in a communit

Objective To investigate the quality of life and health-promoting lifestyles among patients with type 2 diabetic mellitus (T2DM) in a community so as to provide a basis for scientifically conducting health intervention. Methods A questionnaire survey was conducted on general information and sickness status related to 117 patients with T2DM in a community in August-October, 2017. Short-Form Health Survey Scale (SF-36) and Health Promoting Lifestyle Profile (HPLP) were employed to investigate their quality of life and health-promoting lifestyles, and then the scores of quality of life and health-promoting lifestyles and their relationship were analyzed. Results The total score of quality of life in the 117 patients with T2DM was (620.09±113.95). The scores of eight dimensions listed from high to low were physical role (87.39±26.99), physical function (85.98±13.59), social function (85.47±17.88), vitality (82.91±29.88), emotional role (75.21±15.91), mental health (74.94±15.63), body pain (66.47±17.67) and general health (61.71±16.88). The total scoring rate of health-promoting lifestyle profile was 62.61%. The scoring rates of six dimensions listed from high to low were nutritional behavior (72.02%), interpersonal support behavior (62.61%), self-enjoy behavior (61.54%), health responsibility behavior (61.0%), stress control behavior (60.85%) and physical exercise (60.75%). Stepwise regression analysis showed that self-enjoy behavior (β=6.388,P=0.008)and physical exercise(β=5.298,P=0.024 ) were positively correlated with quality of life among the patients with T2DM in the community after adjusting for the impact of age and other chronic diseases. Conclusions There is a lack of physical exercise among the patients with T2DM in the community. Physical exercise behavior and self-enjoy behavior affect the quality of life of the patients with T2DM in the community; and hence, the key point of health education intervention may be to improve physical exercise behavior and keep an optimistic attitude.