【摘要】：目的：分析2型糖尿病患者知信行水平及生存質(zhì)量的分布情況,探討2型糖尿病患者生存質(zhì)量及其影響因素,為糖尿病防控措施制定提供參考依據(jù)。方法：采取分層四階段抽樣法,隨機(jī)抽取重慶DJ縣、YB區(qū)18歲以上2型糖尿病患者,調(diào)查糖尿病患者一般人口學(xué)資料和糖尿病知信行水平,采用糖尿病患者生存質(zhì)量特異性量表(DSQL)對其生存質(zhì)量進(jìn)行測評。采用單因素分析,Spearman相關(guān)分析和多元逐步線性回歸分析進(jìn)行生存質(zhì)量影響因素分析。結(jié)果：共調(diào)查了496例糖尿病患者,有效率為98.8%,平均年齡64.62±9.67歲,DJ縣222例(44.8%),YB區(qū)274例(55.2%)。糖尿病患者知信行平均(50.78±11.46)分,均值占滿分比值為49.30%,態(tài)度得分均值占滿分比例最高(82.18%),知識得分均值占滿分比值最低(25.11%)。糖尿病患者生存質(zhì)量平均(60.53±14.69)分,DJ縣患者生存質(zhì)量較YB區(qū)患者差,DSQL的4個維度評分從高到低為生理功能、心理/精神、治療維度和社會關(guān)系,患者生理功能的生存質(zhì)量最差。患者DSQL各個維度“有問題”水平比例較高的有：視力困難頻度、糖尿病治療效果滿意度、與他人交流病情及相關(guān)知識頻度、飲食控制對日常生活影響程度。單因素分析,Spearman相關(guān)分析和多元逐步線性回歸分析結(jié)果顯示,糖尿病患者生存質(zhì)量影響因素有：性別、病程、戶口類型、文化程度、人月均收入、有無并發(fā)癥、是否選擇運(yùn)動治療、血糖控制滿意度。女性患者生存質(zhì)量得分高于男性患者,女性生存質(zhì)量較男性差；患者隨著病程加長,生存質(zhì)量降低；城鎮(zhèn)患者生存質(zhì)量較農(nóng)村患者好；受教育程度越高患者生存質(zhì)量越好；經(jīng)濟(jì)條件較好的患者生存質(zhì)量較好；伴有并發(fā)癥的患者生存質(zhì)量較差；選擇運(yùn)動治療的患者生存質(zhì)量較好；生存質(zhì)量各個維度及總評分與態(tài)度、行為、KAP水平呈正相關(guān)。結(jié)論：重慶2型糖尿病患者生存質(zhì)量較差,受損最嚴(yán)重的是生理功能,DJ縣患者生存質(zhì)量較YB區(qū)患者差,生存質(zhì)量的主要問題有患者視力受損嚴(yán)重,飲食控制對患者日常生活有很大影響,患者對糖尿病治療效果不滿意及患者很少與他人交流糖尿病相關(guān)知識�；颊呱尜|(zhì)量影響因素有：性別、病程、戶口類型、文化程度、人月均收入、有無并發(fā)癥、是否選擇運(yùn)動治療、血糖控制滿意度。應(yīng)加強(qiáng)對糖尿病患者的健康教育,提高患者的糖尿病知曉率和自我管理水平,培養(yǎng)患者積極樂觀的心態(tài),進(jìn)而提高患者生存質(zhì)量。
[Abstract]:Objective: to analyze the distribution of knowledge, behavior and quality of life in patients with type 2 diabetes, to explore the quality of life of patients with type 2 diabetes and its influencing factors, and to provide a reference for the prevention and control of diabetes. Methods: type 2 diabetes patients aged over 18 years old in DJ county and YB district of Chongqing were randomly selected by stratified four-stage sampling. The general demographic data and the level of knowledge, belief and practice of diabetes mellitus were investigated. The quality of life (QOL) of diabetic patients was evaluated by (DSQL). Single factor analysis, Spearman correlation analysis and multiple stepwise linear regression analysis were used to analyze the influencing factors of quality of life. Results: a total of 496 patients with diabetes mellitus were investigated, the effective rate was 98.8, the average age was 64.62 鹵9.67 years old, and the average age was 64.62 鹵9.67 years old. In DJ county, there were 222 cases (44.8%) in), YB area, 274 cases (55.2%). The average score of knowledge and belief was (50.78 鹵11.46), the mean value was 49.30, the average score of attitude was the highest (82.18%), and the average of knowledge was the lowest (25.11%). The average quality of life of diabetic patients was (60.53 鹵14.69). The quality of life of patients in DJ County was worse than that of patients in YB area. The scores of four dimensions of DSQL from high to low were physiological function, psychology / spirit, therapeutic dimension and social relationship. The quality of life of patients with physiological function was the worst. The patients with DSQL had a higher proportion of "problematic" level: frequency of vision difficulties, satisfaction with the effect of diabetes treatment, frequency of communicating disease and related knowledge with others, and degree of influence of diet control on daily life. Univariate analysis, Spearman correlation analysis and multiple stepwise linear regression analysis showed that the influencing factors of quality of life of diabetic patients were gender, course of disease, type of hukou, education level, income per person per month, and whether there were complications. Whether to choose exercise therapy, blood glucose control satisfaction. The quality of life of female patients is higher than that of male patients, and the quality of life of female patients is worse than that of men; the quality of life of patients in cities and towns is better than that of rural patients; the higher the level of education is, the better the quality of life of patients is. The patients with better economic condition had better quality of life; patients with complications had poor quality of life; patients who chose exercise therapy had better quality of life; all dimensions of quality of life and total score were positively correlated with attitude behavior and KAP level. Conclusion: the quality of life of patients with type 2 diabetes in Chongqing is poor, the most serious one is physiological function. The quality of life of patients in DJ county is worse than that of patients in YB area. The main problem of quality of life is that the visual acuity of patients is damaged seriously. Dietary control has a great impact on the daily life of patients, patients are not satisfied with the effect of diabetes treatment and rarely communicate diabetes related knowledge with others. The influencing factors of patients' quality of life were gender, course of disease, type of hukou, education level, average income per person / month, complication or not, whether to choose exercise treatment or not, and satisfaction degree of blood sugar control. We should strengthen the health education of the patients with diabetes, improve the awareness rate and self-management level of diabetes mellitus, cultivate the positive and optimistic attitude of the patients, and then improve the quality of life of the patients.
【學(xué)位授予單位】：重慶醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R587.1

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