| 庄鵷,田冰洁,王绮,傅佳,杨晓莉.上海高学历2型糖尿病老人生存质量现状及影响因素[J].上海护理,2021,21(2): |
| 上海高学历2型糖尿病老人生存质量现状及影响因素 |
| Status quo and influencing factors of the quality of life of the elderly with type 2 diabetes in Shanghai/ Yuan Zhuang, Bingjie Tian, Qi Wang, Jia Fu, XiaoliYang // Huashan Hospital Affiliated to Fudan University, Shanghai 200000,China |
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| 中文关键词: 生存质量 自我效能 自我管理 低血糖恐惧 |
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| 中文摘要: |
| 目的 了解上海高学历2型糖尿病老人生存质量现状、探究其影响因素,为优化慢性病护理提供依据。方法 2018年11月至2019年5月,方便抽取选择我院内分泌科门诊就诊患者178例进行调查；调查问卷包括一般资料调查表、糖尿病患者生存质量特异性量表(DSQL)、2型糖尿病自我管理行为量表(2-DSCS)、糖尿病自我效能量表(SED)、中文版低血糖恐惧调查-忧虑量表(CHFSII-WS)；回收的数据,采用SPSS23.0软件进行数据清洗、统计描述、单因素分析和多元线性回归分析。 结果 样本DSQL总分为(54.13±14.08)。单因素分析显示,独居、非口服药治疗、有慢性并发症和低血糖恐惧、自我管理和自我效能低的糖尿病老人的DSQL得分更高,差异均有统计学意义(P＜0.05)；多元线性回归结果中标准化回归系数β值的绝对值由大到小为：自我效能不高、有糖尿病慢性并发症、有低血糖恐惧和非口服药治疗。 结论 上海高学历2型糖尿病老人生存质量处于中等水平,自我效能高、没有糖尿病慢性并发症和低血糖恐惧、口服降糖药的老人生存质量更高；未来可通过提高老人自我效能、延缓糖尿病慢性并发症的发生、预防低血糖发作、优化降糖方案,来提高老人生活质量。 |
| 英文摘要: |
| Objective To investigate the status of the quality of life of the elderly with type 2 diabetes in Shanghai and its influencing factors to provide evidence for optimizing the nursing of the patients. Methods 178 patients with type 2 diabetes were recruited from the elderly outpatients of endocrinology department in our hospital in Shanghai, and were investigated with general information questionnaire, Diabetes Specific Quality of life Scale, Diabetes Self-care scale, Diabetes Self Efficacy Scale and Hypoglycemia Fear SurveyII-Worry Scale. All data were put into SPSS 23.0 software for statistical analysis. Statistic methods included descriptive analysis, single factor analysis and the Multivariate linear regression analysis. Results The total score of Diabetes Specific Quality of life Scale of the sample was (54.13±14.08). Single factor analysis showed that the elderly with type 2 diabetes who was solitary, didn’t take oral hypoglycemic drugs, had chronic complications or hypoglycemia fear, had lower self-management and self-efficacy scored higher in the Diabetes Specific Quality of life Scale(P<0.05). Multivariate linear regression analysis showed that the absolute value of the standardized regression coefficients of beta in descending order were having low self-efficacy, having chronic complications of diabetes, having hypoglycemia fear and having non-oral medication. Conclusion The quality of life of the elderly with type 2 diabetes who has a high degree of education in Shanghai was in the middle level. The elderly who have high self-efficacy, don’t have chronic complications of diabetes or hypoglycemia fear, take oral medicine have better quality of life. In the future, measures can be taken to improve their quality of life, including improving their self-efficacy, delaying the occurrence of chronic complications of diabetes, preventing the incidence of hypoglycemia, and optimizing hypoglycemic therapy. |
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