社区2型糖尿病患者生存质量及其影响因素研究

目的了解天津市社区中2型糖尿病患者生存质量及影响因素，为提高患者生存质量提供依据。方法对天津市南开区和汉沽区近期社区普查检出的217名2型糖尿病患者进行了人户问卷调查，应用糖尿病患者生存质量特异性量表（DSQL）对患者生存质量进行测量，用流调用抑郁自评量表（CES-D）对患者抑郁状况进行评价。结果多元逐步回归分析结果显示，糖尿病并发症、抑郁严重程度、家庭居住地为乡镇、对待糖尿病的态度、血糖监测频率、人均月收入、年龄、饮食等因素可从不同维度影响生存质量评分。多因素非条件logistic回归显示，低生存质量的危险因素为：肉类及其制品摄人多（OR=1．617，95％CI：1．103～2．369）、DM并发症数量多（OR=2．817，95％CJ：1．696～4．678）、脑血管疾病（OR=3．073，95％CI：1．174～8．046）、抑郁程度（OR=1．924，95％CI：1．112～3．327），生存质量的保护因素为：豆类及其制品摄人多（OR=0．631，95％CI：0．447～0．891）。结论糖尿病可从不同方面影响患者的生存质量，在控制糖尿病病情的同时应针对影响生存质量评分的因素，采取不同的方法改善患者的生存质量。

Study on quality of life and influencing factors in patients with type 2 diabetes mellitus in community

Objective To evaluate the quality of life of the patients with type 2 diabetes mellitus in community and explore the related factors concerning quality of life so as to provide scientific evidence for improving life quality of type 2 diabetes mellitus patients. Methods 217 of type 2 diabetes meilitus patients detected with a screening prior to the study in Nankai District and Hangu District of Tianjin were investigated via a face-to-face interview. Quality of life and the depression status were assessed by The Diabetes Specific Quality of Life Scale （DSQL） and Center for Epidemiological Survey, Depression Scale （CES-D） respectively. Results The results of multiple linear regression indicated that the scores of different dimensions were statistically significantly associated with number of DM complication, severity of depression, living in countryside, attitude toward DM,less frequency of blood sugar monitoring, monthly incomeper capita, age and diet. The results of multiple logistic regression analysis showed that the following factors were statistically associated with poor quality of life： diets with more meat （OR = 1.617,95N CI：1.103--2.369）, number of DM complication （OR = 2.817, 95% CI： 1.696-- 4. 678 ）, cerebrovascular disease （ OR - 3. 073,95 N CI ： 1.174 - 8. 046）, severity of depression （ OR = 1. 924,95 % CI ： 1.112 - 3. 327）, and intake of more legume （ OR = 0. 631,95 % CI ： 0. 447 -- 0.891 ） were associated with good quality of life. Conclusions Diabetes mellitus may decrease the life quality of patients in different aspects. Effective measures should be taken in order to improve the quality of life while treating the diabetes mellitus itself.