2型糖尿病患者生存质量的影响因素研究

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目的了解2型糖尿病患者生存质量状况,探究影响生存质量的因素。方法采用抑郁自评量表、生存质量特异性量表,对300例2型糖尿病患者进行调查,并进行单因素与多因素分析。结果不同年龄、病程、并发症、糖化血红蛋白、工作状态、锻炼时间以及抑郁程度等患者的生存质量得分对比,差异具有统计学意义(P<0.05);多因素回归分析显示,糖尿病病程>15年、下岗无业、没有锻炼以及重度抑郁程度等是影响患者生存质量的独立危险因素(P<0.05)。结论 2型糖尿病患者普遍存在抑郁情绪,生存质量较低,与糖尿病病程、工作状态、锻炼情况等因素有关,应引起临床重视。 Objective To understand the quality of life in patients with type 2 diabetes mellitus and explore the factors that affect the quality of life. Methods 300 patients with type 2 diabetes mellitus were investigated by self-rating depression scale and quality of life scale, and univariate and multivariate analysis were performed. Results The quality of life scores of patients with different age, course of disease, complications, glycosylated hemoglobin, work status, exercise time and degree of depression were significantly different (P <0.05). Multivariate regression analysis showed that diabetes duration> 15 years , Laid-off and unemployed, no exercise and the degree of severe depression were independent risk factors affecting the quality of life of patients (P <0.05). Conclusions The prevalence of depression and low quality of life in patients with type 2 diabetes mellitus is related to the course of diabetes, working condition and exercise, which should be paid more attention to.
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