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目的了解社区规范化管理糖尿病患者生存质量的影响因素,为指导健康管理和综合干预提供依据。方法在福州市按分层随机抽样法,抽取确诊的规范化管理糖尿病患者。用糖尿病生存质量量表(DSQL)对1 184人进行问卷调查,并对血糖进行监测。结果 1 184例患者生存质量总评分为(49.5±10.3)分;在生存质量4个维度(比值)中,影响程度依次为心理维度(2.1)、社会维度(1.9)、生理维度(1.7)和治疗维度(1.6)。并发症、高血脂、肥胖、高血糖和女性等是生存质量的主要影响因素。结论采取以社区为主的综合干预措施,注重心理干预,控制患者高血压、高血脂、高血糖和体重,减少并发症,是提高社区糖尿病患者生存质量的重要措施。
Objective To understand the influencing factors of community standardized management of quality of life in diabetic patients and provide evidence for guiding health management and comprehensive intervention. Methods According to stratified random sampling method in Fuzhou, standardized diagnosed diabetic patients were drawn. A total of 1 184 people were surveyed using the DSQL questionnaire and blood glucose was monitored. Results The total score of quality of life in 1 184 patients was (49.5 ± 10.3). Among the 4 dimensions of quality of life, the influential factors were psychological dimension (2.1), social dimension (1.9), physiological dimension Treatment dimension (1.6). Complications, hyperlipidemia, obesity, hyperglycemia and female are the main influencing factors of quality of life. Conclusion Taking community-based comprehensive interventions, focusing on psychological intervention, controlling patients with hypertension, hyperlipidemia, high blood sugar and body weight, reducing complications is an important measure to improve the quality of life of community-based diabetes patients.