糖尿病及并发视网膜病变患者生命质量评价

目的 了解评价糖尿病及并发视网膜病变患者的生命质量。方法 在上海市长宁区社区居民中选取糖尿病患者、糖尿病合并视网膜病变(DR)患者及健康居民,采用生命质量量表(SF-36)与糖尿病患者生存质量特异性量表(DSQL)相结合进行生命质量评价;采用Epidata软件建立数据库,采用SPSS软件进行统计分析。结果 糖尿病合并视网膜病变组在SF-36量表的躯体功能(69.74±28.88)、躯体角色(70.72±43.28)、躯体疼痛(76.09±18.15)及总健康维度(48.54±19.74)的生命质量评分均显著低于常模,但心理健康(77.89±14.54)维度评分明显高于常模;糖尿病组在SF-36量表的躯体功能(72.81±22.85)、躯体疼痛(75.32±19.32)2个维度的评分显著低于常模,而心理健康(72.82±17.9)维度评分明显高于常模;糖尿病合并视网膜病变组的躯体功能(69.03±11.07)、总健康(14.71±3.95)、心理/精神维度(54.66±6.69)、社会功能维度(26.68±2.95)及疾病治疗效果维度(12.74±1.75)等方面较普通人群显著为低,糖尿病组的躯体功能(72.19±9.26)、心理/精神维度(53.99±7.20)、社会功能(26.25±2.99)、疾病治疗效果(13.12±1.72)等方面明显低于普通人群;DR组与糖尿病组在SF-36量表总评分及DSQL量表总评分方面均差异无统计学意义,但是在DSQL量表的躯体功能维度上,DR组的评分(45.08±7.40)显著低于糖尿病组评分(47.63±7.21)。结论 糖尿病及其并发视网膜病变患者多个维度的生命质量明显下降。

Evaluation of quality of life in patients with diabetes mellitus and diabetic retinopathy

Objective To study the quality of life(QOL)in patients with diabetes mellitus(DM)and diabetic retinopathy(DR).Methods Using the SF-36 instrument combined with DSQL instrument to assess QOL among DM patients without DR(group DM),DR patients(group DR)and normal controls selected from community residents.All data were analyzed by SPSS.Results Scores in physical function(PF)(69.74±28.88),role-physical(RP)(70.72±43.28t),bodily pain(BP)(76.09±18.15)and general health(GH)(48.54±19.74)in SF-36 instrument of group DR were significant lower than that of normal adult,but score in mental health(MH)(77.89±14.54)was higher than that of normal adult.Scores in PF(72.81±22.85)and BP(75.32±19.32)in SF-36 instrument of group DM were significant lower than that of normal adult,but score in MH(72.82±17.9)was higher than that of normal adult.Total score of quality of life in group DR was distinct lower than that of common people group,especially in PF(69.03±11.07),GH(14.71±3.95),MH(54.66± 6.69),SF(26.68±2.95)and effect of treatment(12.74±1.75).Total score of quality of life in group DM was distinct lower than that of common people group,especially in PF(72.19±9.26),MH(53.99±7.20),SF(26.25±2.99)and effect of treatment(13.12±1.72).Although there were no remarkable difference in total score,score of SF-36 or DSQL instrument,group DR had lower score in PF(45.08±7.40)of DSQL instrument.Conclusion The QOL among patients with diabetes mellitus and diabetic retinopathy declines obviously.