摘要
目的:通过调查2型糖尿病不同证型的生存质量,分析其主要影响因素,为中医药治疗2型糖尿病,临床开展健康教育,提供新的思路和方法。方法:对184名2型糖尿病患者,采用SF-36量表和患者信息表进行问卷调查。结果:2型糖尿病患者生存质量总分平均为63.64。在各维度得分中以总体健康得分最低。影响的因素主要有年龄、病程、文化程度、知晓程度、糖化血红蛋白和总胆固醇等。不同证型的影响因素各不同。经多元逐步回归分析,病程、运动、文化程度、劳动强度被列入回归方程。结论:2型糖尿病患者的生存质量普遍下降,不同证型的生存质量受损有不同的侧重面。不同证型生存质量影响因素不同,其中运动、文化程度、病程是重要影响因素,在辨证施治的过程中采取针对性的措施更有利于提高中医药的疗效。
Objective:Investigating the QOL of the type 2 diabetics and analyzing the major influential factors can provide a new way of thinking and methods for estimation of the curative effect of the TCM (traditional Chinese medicine,TCM ) and health education. Methods: All patients adopted unified Chinese edition of sheet of quality of life the health measure list SF-36.Results: The general average score is 63.64. The grade of the total health is lowest. The influential factors of QOL mainly include age, course of disease, record of formal schooling, recognition, HbA1, total cholesterol and so on. Influential factors of different syndrome are different. The outcomes of multivariable stepwise regression declare the course of disease, exercise, record of formal schooling, labor intensity are included. Conclusion: The grades of QOL of type 2 diabetics are low. There is different emphasis of QOL lesion with different syndrome. Influential factors of different syndrome are different. Adopting the aimed treatment can improve the curative effect of TCM by treatment based on syndrome.
出处
《中华中医药学刊》
CAS
2007年第7期1521-1525,共5页
Chinese Archives of Traditional Chinese Medicine
关键词
糖尿病
生存质量
中医证型
diabetes mellitus
quality of life
syndrome type of traditional Chinese medicine
