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山东大学学报 (医学版) ›› 2019, Vol. 57 ›› Issue (3): 96-103.doi: 10.6040/j.issn.1671-7554.0.2018.1130

• 公共卫生与管理学 • 上一篇    

山东省2型糖尿病患者健康相关生命质量及其影响因素

徐琼琼,郭晓雷,楚洁,景正月,张新益,周成超   

  1. 1.山东大学公共卫生学院社会医学与妇幼保健学系, 山东 济南 250012;2.山东省疾病预防控制中心慢性非传染性疾病防治所, 山东 济南250014
  • 发布日期:2022-09-27
  • 通讯作者: 周成超. E-mail:zhouchengchao@sdu.edu.cn
  • 基金资助:
    国家自然科学基金(71003067,71473152,71774104);美国中华医学会(CMB-16-257)

Health-related quality of life and its influencing factors in type 2 diabetes patients in Shandong Province

XU Qiongqiong, GUO Xiaolei, CHU Jie, JING Zhengyue, ZHANG Xinyi, ZHOU Chengchao   

  1. 1. Department of Social Medicine and Matemal &
    Child Health, School of Public Health, Shandong University, Jinan 250012, Shandong, China;
    2. Chronic and Noncommunicable Disease Control and Prevention, Shandong Center for Disease Control and Prevention, Jinan 250014, Shandong, China
  • Published:2022-09-27

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摘要： 目的 评价山东省2型糖尿病(T2DM)患者健康相关生命质量(HRQOL)并探索其影响因素。 方法 采用欧洲五维健康量表(EQ-5D)评价T2DM患者的HRQOL,同时调查患者人口社会学特征、糖尿病并发症及参与运动情况等信息。应用Logistic回归模型及Tobit回归模型分析T2DM患者HRQOL的影响因素。 结果 Logistic结果显示,男性、高年龄及参与体育活动患者的生命质量相对较高;而与糖尿病生命质量有关联的危险性因素包括:低收入水平、一般水平以下的心理健康状况和糖尿病病程(P<0.05)。Tobit回归模型分析结果显示,年龄、家庭年收入水平、心理健康状况、参与体育运动、并发症以及糖尿病病程对T2DM患者的HRQOL有影响(P<0.05)。 结论 影响T2DM人群HRQOL的因素包括年龄、收入水平、体育活动、并发症、糖尿病病程和心理状况等,要综合全面地考虑多种因素的作用和影响。

关键词: 2型糖尿病, 欧洲五维健康量表, 影响因素, Tobit模型, 健康相关生命质量

Abstract: Objective To evaluate the health-related quality of life(HRQOL)in patients with type 2 diabetes mellitus(T2DM)in Shandong Province and to explore its influencing factors. Methods The European quality of life 5-dimensions(EQ-5D)was used to evaluate the HRQOL of T2DM patients. At the same time, the research investigated sociological characteristics of patients, complications of diabetes, and participation in exercise. Logistic regression model and Tobit regression model were used to analyze the factors affecting HRQOL in T2DM patients. Results Logistic regression results showed that male, high-age and participating sports patients has relatively higher quality of life, and the risk factors associated with diabetes quality of life included low income level, mental health status below the general level and diabetes duration(P<0.05). The results of the Tobit regression model analysis showed that age, family annual income level, mental health status, drinking status, participation in exercise, complications, and duration of diabetes had an impact on HRQOL in T2DM patients(P<0.05). Conclusion The influencing factors of HRQOL in T2DM patients include age, family annual income level, participation in exercise, complications, and duration of diabetes, and the effects of the influencing factors should be considered comprehensively.

Key words: Type 2 diabetes, European quality of life 5-dimensions, Influencing factors, Tobit model, Health-related quality of life

中图分类号: 

  • R197.1
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