接受胰岛素治疗的2型糖尿病病人生活质量及影响因素分析

目的调查接受胰岛素治疗的2型糖尿病病人生活质量水平，并分析其影响因素。方法采用便利抽样，选取湖南省某省级医院内分泌科住院的200例2型糖尿病病人，采用一般资料调查表、接受胰岛素治疗病人生活质量量表（ITR-QOL）、胰岛素治疗态度量表（ITAS）、胰岛素治疗依从性量表（ITAQ）进行问卷调查。结果接受胰岛素治疗的2型糖尿病病人生活质量总分为（91.50±11.99）分。多元线性回归分析结果显示，居住情况、工作状态、每日注射次数、治疗态度和依从性是接受胰岛素治疗病人生活质量的影响因素（P＜0.05~P＜0.01），共解释病人生活质量的38.3%。结论接受胰岛素治疗病人的生活质量处于中等水平，医务人员需对使用胰岛素的病人予以关注，对其进行针对性的指导和干预，以提高病人的生活质量。

Analysis of the quality of life and its influencing factors in type 2 diabetes mellitus patients treated with insulin

ObjectiveTo investigate the quality of life in type 2 diabetes mellitus(T2DM) patients treated with insulin, and its influencing factors.MethodsA total of 200 T2DM patients treated with insulin were selected from a tertiary hospital in Hu'nan province using convenience sampling method.The patients were investigated using insulin therapy related quality of life(ITR-QOL), insulin treatment attitude scale(ITAS) and insulin treatment adherence questionnaire(ITAQ).ResultsThe score of the ITR-QOL was(91.50±11.99) points.The results of multiple linear regression analysis showed that the residence status, working status, daily injection number, treatment attitude and compliance were the influencing factors of the quality of life in T2DM patients treated with insulin(P < 0.05 to P < 0.01), and which explained 38.3% of all variation.ConclusionsThe quality of life in T2DM patients treated with insulin was at the middle level.The medical personal should pay attention the T2DM patients treated with insulin, provide targeted support and interventions to improve the quality of life.