摘要
目的了解妊娠糖尿病(GDM)患者生活质量及其影响因素,为提高GDM患者生活质量提供参考。方法选择2021年6月—2022年6月在浙江大学医学院附属杭州市第一人民医院妇产科就诊的GDM患者为研究对象,收集人口学信息、诊疗情况、睡眠、抑郁和社会支持水平等资料,采用中文版GDM孕妇生活质量量表评估生活质量;采用多重线性回归模型分析GDM患者生活质量的影响因素。结果发放问卷300份,回收有效问卷284份,回收有效率为94.67%。GDM患者年龄为(32.81±4.93)岁;生活质量评分为(92.63±14.10)分。多重线性回归分析结果显示,抑郁(β’=-0.293)、睡眠障碍(β’=-0.177)、胰岛素治疗(β’=-0.316)、规律运动(β’=0.272)和社会支持水平(中等,β’=0.153;高,β’=0.381)是GDM患者生活质量的影响因素。结论GDM患者的生活质量水平偏低,抑郁、睡眠障碍、胰岛素治疗和缺乏运动可能导致GDM患者生活质量下降,良好的社会支持有助于提高生活质量。
Objective To investigate the quality of life and its influencing factors among patients with gestational diabetes mellitus(GDM),so as to provide insights into the improvements in the quality of life among patients with GDM.Methods GDM patients admitted to Department of Obstetrics and Gynecology,Hangzhou First People’s Hospital Affiliated to Zhejiang University Medical School from June 2021 to June 2022 were recruited.Participants’demographics,diagnosis and treatment,sleep quality,depression and social support level were collected.Patients’quality of life was evaluated using the Quality of Life Scale for Pregnant Women with Gestational Diabetes Mellitus,and the factors affecting the quality of life were identified among patients with GDM using a multivariable linear regression model.Results A total of 300 questionnaires were allocated,and 284 valid questionnaires were recovered,with an effective recovery rate of 94.67%.The respondents had a mean age of(32.81±4.93)years,and the mean scores for the quality of life was(92.63±14.10)points.Multivariable linear regression analysis identified depression(β’=-0.293),sleep disorder(β’=-0.177),insulin therapy(β’=-0.316),regular exercise(β’=0.272)and social support level(medium:β’=0.153;high:β’=0.381)as factor affecting the quality of life among GDM patients.Conclusions GDM patients have a low quality of life.Depression,sleep disorders,insulin therapy,and lack of exercises may cause a decline in the quality of life among GDM patients,and strong social support facilitates the improvements in the quality of life among GDM patients.
作者
谢睿
胡菊莲
喻喆
XIE Rui;HU Julian;YU Zhe(Department of Obstetrics and Gynecology,Hangzhou First People's Hospital Affiliated to Zhejiang University Medical School,Hangzhou,Zhejiang 310006,China)
出处
《预防医学》
2023年第2期162-165,共4页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
妊娠糖尿病
生活质量
社会支持
影响因素
gestational diabetes
quality of life
social support
influencing factor
