本文關(guān)鍵詞：老年2型糖尿病患者老年綜合征現(xiàn)狀及與生活質(zhì)量的關(guān)系　出處：《青島大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 老年綜合征 糖尿病 老年人 生活質(zhì)量

【摘要】：目的以老年2型糖尿病患者為研究對象,描述其多重老年綜合征罹患現(xiàn)狀和生活質(zhì)量水平,并進一步分析生活質(zhì)量影響因素,旨在探求多重老年綜合征對患者生活質(zhì)量的累積作用,促進臨床護士以全新的視角關(guān)注患者身心健康,從而采取積極措施幫助患者改善生活質(zhì)量。方法采用橫斷面調(diào)查研究。于2015年9月至2016年3月,通過便利抽樣法選取某三級甲等醫(yī)院符合納入標(biāo)準(zhǔn)的397例2型糖尿病患者進行老年綜合征的評估和生活質(zhì)量問卷調(diào)查,老年綜合征涵蓋慢性疼痛、慢性便秘、跌倒、多重用藥、尿失禁、營養(yǎng)不良、睡眠障礙。慢性疼痛、慢性便秘、跌倒情況通過問診方式詢問患者,用藥情況通過查閱其電子病歷獲取,最后三項老年綜合征分別通過國際尿失禁咨詢委員會尿失禁問卷表簡表、簡易營養(yǎng)法簡表、匹茲堡睡眠質(zhì)量指數(shù)進行評估。數(shù)據(jù)統(tǒng)計分析采用SPSS 17.0軟件進行,不同患者生活質(zhì)量水平比較采用獨立樣本t檢驗、單因素方差分析;相關(guān)性分析采用Spearman秩相關(guān);生活質(zhì)量的影響因素分析采用多元線性回歸分析法。結(jié)果1.老年2型糖尿病患者生理健康和心理健康得分分別為277.11±64.30,307.00±60.45;生活質(zhì)量8個維度中,情感職能得分最高,一般健康狀況得分最低。2.研究對象各老年綜合征的發(fā)生率依次為:多重用藥70.5%,睡眠障礙56.4%,慢性疼痛44.1%,慢性便秘31.5%,跌倒31.2%,尿失禁26.4%,營養(yǎng)不良20.9%;平均患有老年綜合征數(shù)量為2.81±1.38,81.9%的患者所患老年綜合征數(shù)量為兩個或兩個以上。3.不同年齡、職業(yè)、醫(yī)療費用承擔(dān)方式對患者生理健康存在影響(P0.05),而年齡、職業(yè)、文化程度及婚姻狀況對患者心理健康產(chǎn)生影響(P0.05);病程、糖化血紅蛋白值、合并癥與并發(fā)癥數(shù)量均與患者的生理健康、心理健康得分呈負(fù)相關(guān)(rs=-0.338~-0.132,P0.05)。4.是否患老年綜合征以及所患數(shù)量都會影響研究對象的生理健康、心理健康(P0.05)。5.分別對患者生理健康與心理健康得分進行多元線性回歸分析。患者罹患的老年綜合征數(shù)量、糖尿病合并癥與并發(fā)癥數(shù)量和病程進入患者生理健康回歸方程;老年綜合征數(shù)量、糖尿病合并癥與并發(fā)癥數(shù)量進入患者心理健康回歸方程。兩回歸方程分別解釋生理健康、心理健康總變異的29.9%、23.0%。結(jié)論住院老年2型糖尿病患者老年綜合征的發(fā)生率較高,大部分患者同時存在多重老年綜合征。患者生活質(zhì)量水平不容樂觀,除受人口學(xué)特征和病情影響外,多重老年綜合征是患者生活質(zhì)量主要的影響因素,所造成的損傷超過人口學(xué)因素以及糖尿病疾病本身對患者產(chǎn)生的影響。
[Abstract]:Objective to describe the current situation and quality of life (QOL) in elderly patients with type 2 diabetes mellitus (T2DM), and to analyze the influencing factors of QOL. The purpose of this study is to explore the cumulative effect of multiple elderly syndrome on patients' quality of life and to promote clinical nurses to pay attention to patients' physical and mental health from a new perspective. Therefore, positive measures were taken to help patients improve their quality of life. Methods Cross-sectional investigation was carried out from September 2015 to March 2016. According to the convenience sampling method, 397 patients with type 2 diabetes mellitus who met the inclusion criteria in a Grade 3A hospital were selected to evaluate the elderly syndrome and the quality of life questionnaire. The elderly syndrome covers chronic pain. Chronic constipation, fall, multiple medication, urinary incontinence, malnutrition, sleep disorder. Chronic pain, chronic constipation, fall through the way of asking the patient, medication through access to their electronic medical records. The last three items of senile syndrome were summarized by the urinary incontinence questionnaire of the International urinary Incontinence Advisory Committee and the summary table of simple nutrition method. Pittsburgh Sleep quality Index (PQI) was evaluated by SPSS 17.0 software. The quality of life (QOL) of different patients was compared by independent sample t-test and univariate analysis of variance (ANOVA). Spearman rank correlation was used in correlation analysis. Multiple linear regression analysis was used to analyze the influencing factors of quality of life. Results 1. The scores of physical health and mental health of elderly patients with type 2 diabetes were 277.11 鹵64.30 respectively. 307.00 鹵60.45; In the eight dimensions of quality of life, affective function score was the highest, general health score was the lowest. 2. The incidence of elderly syndrome was 70.5 for multiple drug use and 56.4% for sleep disorder. Chronic pain 44.1, chronic constipation 31.5, falling 31.2 measures, urinary incontinence 26.4am, malnutrition 20.9; The average number of senile syndrome patients was 2.81 鹵1.38%. The number of senile syndrome was two or more than two. 3. Different age and occupation. However, age, occupation, education and marital status had an effect on patients' mental health. The course of disease, the value of glycosylated hemoglobin, the number of complications and complications were negatively correlated with the patients' physical and mental health scores. P0.05. 4. whether or not the elderly syndrome and the number of diseases will affect the physical health of the study subjects. The scores of physical health and mental health were analyzed by multivariate linear regression analysis. The number of complications, the number of complications and the course of diabetes entered the regression equation of patients' physiological health. The number of senile syndrome, the number of diabetes complications and complications entered the mental health regression equation of patients. The two regression equations explained the total variation of physical health and mental health 29.9% respectively. Conclusion the incidence of senile syndrome in elderly patients with type 2 diabetes mellitus is high, and most of the patients have multiple elderly syndrome at the same time. The quality of life of the patients is not optimistic. In addition to demographic characteristics and disease, multiple elderly syndrome is the main influencing factor of patients' quality of life. The damage caused by multiple senile syndrome is more than that of demographic factors and diabetes disease itself.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.5

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