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目的评价成都市2型糖尿病患者生命质量,并探索其影响因素。方法采用SF-36量表评价成都市533位2型糖尿病患者生命质量,同时调查患者人口社会学特征、患病特点、治疗情况、糖尿病知信行(KAP)等信息。采用多元线性回归和结构方程模型进行生命质量影响因素分析。结果生命质量综合评分平均为(62.68±18.64)分;进入多元线性回归模型的因素有:病人类型(β=-11.822)、并发症数目(β=-3.195)、文化程度(β=2.108)、医患沟通(β=4.475)、知道控制血糖有助于减少并发症(β=5.810)、病程(β=-0.351)、性别(β=3.612)、体育锻炼(β=1.759)和了解病情(β=4.140);结构方程模型结果显示,人口社会学因素(β=0.18)、患病特点(β=-0.85)、糖尿病KAP(β=0.33)对患者生命质量有直接影响,人口社会学因素对糖尿病KAP有积极影响(β=0.19)。结论成都市2型糖尿病患者生命质量普遍受损;患者生命质量影响因素包括人口社会学、糖尿病KAP情况和患病特点等多个方面,且影响因素之间存在相互影响。
Objective To evaluate the quality of life of patients with type 2 diabetes mellitus in Chengdu and to explore the influencing factors. Methods The quality of life of 533 patients with type 2 diabetes mellitus in Chengdu was evaluated by SF-36 scale, and the socio-demographic characteristics, prevalence, treatment status and knowledge of KAP were also investigated. Multiple linear regression and structural equation model were used to analyze the influence factors of quality of life. Results The average quality of life score was (62.68 ± 18.64) points. The factors of multiple linear regression model included the type of patient (β = -11.822), the number of complications (β = -3.195), the education level The doctor-patient communication (β = 4.475) showed that controlling blood glucose helped to reduce complications (β = 5.810), duration of illness (β = -0.351), sex (β = 3.612), physical activity β = 4.140). The structural equation modeling results showed that the sociological factors (β = 0.18), prevalence characteristics (β = -0.85) and diabetes KAP (β = 0.33) had a direct impact on the quality of life of the patients. Positive effect on diabetic KAP (β = 0.19). Conclusion The quality of life of patients with type 2 diabetes mellitus in Chengdu is generally impaired. Factors influencing the quality of life of patients include demographic sociology, KAP status and prevalence characteristics of diabetes mellitus, and the influencing factors are interdependent.