| 张虹霞,李钒冰,陈芳,陈东旭,李朋洋,林立.中医视角下中老年2型糖尿病患者健康相关生命质量及其影响因素[J].济宁医学院学报,2025,48(2):146-151 |
| 中医视角下中老年2型糖尿病患者健康相关生命质量及其影响因素 |
| A study of health-related quality of life and influencing factors of middle-aged and elderly patients with type 2 diabetes from the perspective of traditional Chinese medicine |
| 投稿时间：2024-11-08 |
| DOI：10.3969/j.issn.1000-9760.2025.02.010 |
| 中文关键词: 2型糖尿病;中老年;生命质量;CQ-11D |
| 英文关键词: Type 2 diabetes;Middle-aged and elderly patients;Quality of life;CQ-11D |
| 基金项目: |
| 作者 | 单位 | E-mail | | 张虹霞 | 滨州医学院公共卫生学院, 烟台 264003
济宁医学院公共卫生学院, 济宁 272013 | | | 李钒冰 | 济宁医学院公共卫生学院, 济宁 272013 | | | 陈芳 | 济宁医学院公共卫生学院, 济宁 272013 | | | 陈东旭 | 济宁医学院公共卫生学院, 济宁 272013 | | | 李朋洋 | 济宁医学院公共卫生学院, 济宁 272013 | | | 林立 | 滨州医学院公共卫生学院, 烟台 264003
济宁医学院公共卫生学院, 济宁 272013 | linli6711@sina.com |
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| 中文摘要: |
| 目的 基于中医健康观理论,研究中老年2型糖尿病(T2DM)患者健康相关生命质量(HRQoL)并探讨其影响因素。方法 本研究为横断面研究,采用中医生命质量评价量表(CQ-11D)对421名中老年(≥45岁)2型糖尿病患者进行HRQoL评价,应用Tobit模型分析中老年T2DM患者HRQoL的影响因素。结果 中老年2型糖尿病患者CQ-11D健康效用值(0.847±0.142);CQ-VAS健康自评得分(71.88±14.59)分。其中“形神同俱-形”相关维度睡眠、精神、疼痛、头晕条目存在问题的比例较高分别为61.0%、48.5%、46.8%、47.5%;“形神同俱-神”相关维度疲劳/疲乏、烦躁易怒、焦虑沮丧条目存在问题的比例分别为69.6%、52.0%、39.2%。合并视网膜病变、冠心病、骨骼肌肉疾病、贫血的患者生命质量较低,健康效用值分别为(0.812±0.208)、(0.811±0.192)、(0.794±0.219)、(0.762±0.236)。Tobit回归分析结果显示,年龄、性别、文化程度、病程、锻炼、饮食控制、治疗方式是中老年2型糖尿病患者生命质量的主要影响因素。结论 中老年2型糖尿病患者健康相关生命质量较一般人群低,在“形、神”2个领域多维度受损均较重。 |
| 英文摘要: |
| Objective To evaluate the health-related quality of life (HRQoL) of middle-aged and elderly patients with type 2 diabetes (T2DM) and explore its influencing factors based on the theory of traditional Chinese medicine health concept. Methods 421 middle-aged and elderly patients (≥45 years old) with type 2 diabetes were assessed with traditional Chinese medicine quality of life-11 dimensions (CQ-11D). Tobit regression model was used to analyze the influencing factors of HRQoL. Results The health utility values of CQ-11D of middle-aged and elderly patients with type 2 diabetes were (0.847±0.142);the score of CQ-VAS was (71.88±14.59)points.Higher proportions of issues were found in the dimensions related to "Xing-Shen Unity-Form,"including sleep (61.0%),mental state (48.5%),pain (46.8%),and dizziness (47.5%),as well as in the "Xing-Shen Unity-Spirit" dimensions,including fatigue (69.6%),irritability (52.0%),and anxiety (39.2%).Patients with retinopathy,coronary heart disease,musculoskeletal diseases, and anemia had a low quality of life,and the indexs of CQ-11D were 0.812±0.208,0.811±0.192,0.794±0.219,0.762±0.236 respectively.Tobit regression analysis showed that age,gender,education,course of disease,exercise,diet control,and treatment methods were the main influencing factors of HRQoL. Conclusion The HRQoL of middle-aged and elderly patients with type 2 diabetes is lower than that of the general population.The patients suffer from serious multi-dimensional damage in both "XING and SHEN". |
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