CAJ | 학술논문

目的探讨运动干预对2型糖尿病(T2DM)患者生活质量(QOL)的影响.方法选择200例T2DM患者,随机分为试验组和对照组各100例,对照组予以常规的降糖治疗;试验组除了对照组的治疗外,每天进行强化运动治疗2次.6个月后,162例患者完成了试验观察,每组81例,比较2组患者干预前后QOL得分并分析影响QOL得分变化的临床因素.结果干预6个月后,试验组和对照组的生理维度、心理维度、社会维度、满意度、普适分和总分均存在处理主效应[(58.93±5.19)分,(46.85±9.26)分; (59.19±3.57)分,( 47.87±9.04)分; (57.20±5.36)分,(47.67±9.25)分;(59.80±5.93)分,(47.03±8.64)分;(235.12±13.60 )分,(189.42±25.31)分;(293.24±18.49)分,(236.79±31.83)分;均P＜0.01],也存在时间主效应(均P＜0.01)和交互作用(均P＜0.01);生活质量总分干预前后的差值与体重指数、空腹血糖、糖化血红蛋白及餐后血糖干预前后的差值有关;试验组的直接成本-效果比低于对照组.结论运动干预有助于改善T2DM患者的QOL,降低直接成本效果比.
목적 탐토운동간예대2형당뇨병(T2DM)환자생활질량(QOL)적영향.방법 선택200례T2DM환자,수궤분위시험조화대조조각100례,대조조여이상규적강당치료;시험조제료대조조적치료외,매천진행강화운동치료2차.6개월후,162례환자완성료시험관찰,매조81례,비교2조환자간예전후QOL득분병분석영향QOL득분변화적림상인소.결과 간예6개월후,시험조화대조조적생리유도、심리유도、사회유도、만의도、보괄분화총분균존재처리주효응[(58.93±5.19)분,(46.85±9.26)분; (59.19±3.57)분,( 47.87±9.04)분; (57.20±5.36)분,(47.67±9.25)분;(59.80±5.93)분,(47.03±8.64)분;(235.12±13.60 )분,(189.42±25.31)분;(293.24±18.49)분,(236.79±31.83)분;균P＜0.01],야존재시간주효응(균P＜0.01)화교호작용(균P＜0.01);생활질량총분간예전후적차치여체중지수、공복혈당、당화혈홍단백급찬후혈당간예전후적차치유관;시험조적직접성본-효과비저우대조조.결론 운동간예유조우개선T2DM환자적QOL,강저직접성본효과비.
ObjectiveTo explore the effects of exercise intervention on quality of life( QOL)in type 2 diabetic patients. Methods200 patients , who were type 2 diabetes mellitus, were divided into the experimental group and the control group randomly. All the patients in the control group were given a standard treatment of lowering blood sugar. Those in the experimental group strengthened physical exercise twice a day extraordinarily. 162 patients completed the experiment observations and each group were 81 patients after 6 months.The scores of QOL were assessed before and after intervention,and analyzed the clinical factors which affected QOL.ResultsThere were significant differences of the dimensions including physical, social, psychological, satisfaction, universal and total between the two groups after intervention for 6 months[(58.93±5.19)vs(46.85±9.26); (59.19±3.57)vs( 47.87±9.04); (57.20±5.36)vs(47.67±9.25); (59.80±5.93)vs(47.03±8.64); (235.12±13.60 )vs (189.42±25.31); (293.24±18.49)vs (236.79±31.83);all P＜0.01].There were the main effects of time (all P＜0.01) and intervention(all P＜0.01).The difference of the total scores on the quality of life before and after intervention was related to the difference of body mass index, fasting glucose, glycolated hemoglobin and postmeal glucose. The direct cost-effectiveness in the experimental group were lower than those in the control group.ConclusionThe exercise intervention contributes to improve the quality of life of type 2 diabetic patients;and reduce the direct cost-effectiveness of lowering blood sugar of the patients.