糖尿病和糖耐量低减患者生命质量评价

目的 了解糖尿病和糖耐量低减患的生命质量,并探讨其影响因素。方法 采用SF-36量表评价：108例糖尿病、109例糖耐量低减和116例糖耐量正常的生命质量,并研究其影响因素。结果 糖尿病患中,自我确认健康感觉非常好或很好占12．04％,与同龄人比较,健康感觉好或较好占62．04％;糖耐量低减患中上述比例较高,分别为13．76％和69．72％;生命质量综合评分很好或好的比例在糖尿病患为72．23％,糖耐量低减患为83．49％。糖尿病患生命质量已普遍下降,生命质量各维度评分最低为情绪角色功能,最高为躯体功能,波动在58．33-87．38之间,其中躯体功能、躯体角色功能、总体健康、精力和综合评分显低于糖耐量正常,精力、心理健康和综合评分显低于糖耐量低减;糖耐量低减患生命质量各维度有不同程度的损害,但其生命质量评分与糖耐量正常无统计学差异。相关分析显示,年龄、职业、离退休、病程、糖尿病症状数、并发症数量、空腹血糖和餐后2h血糖水平对糖尿病患生命质量有影响。结论 提高糖尿病患的生命质量,应该从疾病早期开始。控制血糖稳定,重视患的心理治疗和采取有针对性的措施,可提高不同特征患的生命质量。

Assessment of quality of life in patients with diabetes mellitus and impaired glucose tolerance

Objectives To understand the quality of life ( QOL) in patients with diabetes mellitus and impaired glucose tolerance, and investigate factors affecting their QOL. Methods Using the SF 36 instrument to assess QOL among 108 patients with diabetes mellitus, 109 patients with impaired glucose tolerance and 116 normal glucose tolerance subjects. Results In subjects with diabetes mellitus, the proportion of general perceived health assessed to be excellent or good was 12 04%; as compared with the same age people, the proportion assessed to be good or fairly good was 62 04% In subjects with impaired glucose tolerance, the two proportions was 13 76% and 69 72% respectively The total score attained excellent or good level was 72 23% and 83 49% respectively in patients with diabetes mellitus and impaired glucose tolerance The mean score of multi item dimensions assessment (ranged from 58 33 to 87 38) decreased in diabetes mellitus; the lowest score being emotional role functioning and the highest mean score being physical functioning Compared with normal glucose tolerance subjects, the mean score of physical functioning, physical role functioning, general health perception, vitality and the total score in diabetes mellitus was significantly decreased;and compared with in impaired glucose tolerance patients, the mean score of vitality, mental health and the total score was significantly decreased in diabetes mellitus The resulst of correlation analysis demonstrated that age, occupationl, duration of disease, number of symptoms and complications, level of fasting blood glucose and 2 hour past oral blood glucose affected the QOL of diabetes mellitus patients. Conclusions The results suggested that to enhance the QOL in patients with diabetes mellitus, control of plasma glucose, pay attention to psychological treatment and measures related to diabetes mellitus with different characteristics must be early adopted