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目的 了解 2型糖尿病患者生存质量及其影响因素 ,为制定针对患者的干预措施提供依据。方法 将确诊的 2 0 0例 2型糖尿病患者作为研究对象 ,生存质量量表采用NHP量表 (NottinghanHealthProfice) ,采用线性结构关系模型 (LISREL)进行统计分析。结果 社会因素 (文化程度 ,医疗保健制度 )对 2型糖尿病患者生存质量影响最大 (效应系数γ =0 94) ,其次为合并情况 (γ =0 2 8) ,此外体力活动 (γ =0 14)、糖尿病知识、态度、行为 ,即KAB (γ =0 12 )、血压 (γ =0 10 )对生存质量也有一定的影响。结论 提示对糖尿病患者应加强社会支持力度 ,提高患者糖尿病防治知识的水平 ,尤其是应提高对疾病的认识 ,以健康的心态对待疾病 ,减少合并症的发生 ,以提高生存质量
Objective To understand the quality of life and its influencing factors in patients with type 2 diabetes mellitus (T2DM) and provide evidence for developing interventions for patients. Methods Two hundred and twenty patients with type 2 diabetes mellitus were enrolled in this study. The quality of life scale was measured by NHP scale (Nottingham Health Profice) and analyzed by linear structural relationship model (LISREL). Results Social factors (education level, health care system) had the greatest impact on quality of life in patients with type 2 diabetes (effect coefficient γ = 0 94), followed by consolidation (γ = 0 28), and physical activity (γ = 0 14) , Knowledge of diabetes, attitude and behavior, that is, KAB (γ = 0 12), blood pressure (γ = 0 10) also had a certain impact on the quality of life. Conclusions suggest that we should strengthen social support for patients with diabetes and improve the level of knowledge of diabetes prevention and treatment, in particular, we should raise awareness of the disease, treat the disease with a healthy attitude, reduce the incidence of complications, and improve the quality of life