摘要
目的评价农村糖尿病患者生活质量。方法调查416例医院门诊的农村糖尿病患者个人基本资料和疾病状况,用中文版EQ-5D生活质量量表评价患者的生活质量,采用Logistic回归和多元线性回归方法分析影响生活质量的相关因素。结果农村糖尿病患者在5个维度中,存在中、重度困难比例分别为"行动能力"21.15%,"自己照顾自己能力"11.54%,"日常活动能力"17.31%,"疼痛/不适"38.46%和"焦虑/抑郁"47.12%。EQ-5D平均效用值0.835±0.197,EQ-VAS评分均值(61.48±16.47)分。Logistic回归分析显示,并发症是5个维度共同的影响因素,年龄是"运动能力"、"日常活动能力"、"疼痛/不适"和"焦虑/抑郁"等4个维度共同的影响因素,性别和Hb A1C是"疼痛/不适"的两个影响因素。多元线性回归分析显示,并发症数量对EQ-5D效用值有明显影响,并发症数量和Hb A1C对EQ-VAS评分也有明显影响。结论农村糖尿病患者生活质量明显低于一般人群,焦虑/抑郁是最主要问题,并发症是患者生活质量下降的主要影响因素。
Objective To evaluate the quality of life of patients with diabetes mellitus in rural areas,and to analyze the main influencing factors.Methods The EQ -5D and questionnaire were used to collect information of patients with diabetes mellitus and to evaluate their quality of life.Logistic regression,multiple liner regression analyses and other statistical methods were used to analyze the related factors of life quality among rural patients with diabetes mellitus. Results A total of 416 patients with diabetes mellitus were investigated.The mean score of EQ -5D and EQ -VAS of all cases were 0.835 ±0.197 and 61.48 ±16.47 respectively,and the rates of the participants had problems at the dimensions of mobility,self -care,usual activities,pain/discomfort and anxiety/depression were 21.15%,11.54%,17.31%, 38.46% and 47.12% respectively.Logistic regressions for the five dimensions showed that complications were the common significant factors of all five dimensions,and age was related to the dimensions of mobility,usual activities,pain/discomfort and anxiety/depression.Gender and HbA1C were influencing factors of pain/discomfort dimension.Multiple liner regression analyses showed that the number of complications was the influencing factors of the valuation of EQ -5D and the score of EQ -VAS.Conclusion The quality of life among patients with diabetes mellitus in rural areas was lower than healthy people.Anxiety/depression was the most common problem,and complications were the main factor for the decrease of quality of life among diabetic patients.
出处
《浙江预防医学》
2015年第5期458-461,共4页
Zhejiang Journal of Preventive Medicine
关键词
糖尿病
生活质量
EQ-5D
Diabetes mellitus
Quality of life
EQ - 5D
