CAJ | 학술논문

目的：评价农村糖尿病患者生活质量。方法调查416例医院门诊的农村糖尿病患者个人基本资料和疾病状况，用中文版 EQ －5D 生活质量量表评价患者的生活质量，采用 Logistic 回归和多元线性回归方法分析影响生活质量的相关因素。结果农村糖尿病患者在5个维度中，存在中、重度困难比例分别为“行动能力”21．15％，“自己照顾自己能力”11．54％，“日常活动能力”17．31％，“疼痛／不适”38．46％和“焦虑／抑郁”47．12％。EQ －5D 平均效用值0．835±0．197，EQ －VAS 评分均值（61．48±16．47）分。Logistic 回归分析显示，并发症是5个维度共同的影响因素，年龄是“运动能力”、“日常活动能力”、“疼痛／不适”和“焦虑／抑郁”等4个维度共同的影响因素，性别和 HbA1C是“疼痛／不适”的两个影响因素。多元线性回归分析显示，并发症数量对 EQ －5D 效用值有明显影响，并发症数量和 HbA1C对 EQ －VAS 评分也有明显影响。结论农村糖尿病患者生活质量明显低于一般人群，焦虑／抑郁是最主要问题，并发症是患者生活质量下降的主要影响因素。
목적：평개농촌당뇨병환자생활질량。방법조사416례의원문진적농촌당뇨병환자개인기본자료화질병상황，용중문판 EQ －5D 생활질량량표평개환자적생활질량，채용 Logistic 회귀화다원선성회귀방법분석영향생활질량적상관인소。결과농촌당뇨병환자재5개유도중，존재중、중도곤난비례분별위“행동능력”21．15％，“자기조고자기능력”11．54％，“일상활동능력”17．31％，“동통／불괄”38．46％화“초필／억욱”47．12％。EQ －5D 평균효용치0．835±0．197，EQ －VAS 평분균치（61．48±16．47）분。Logistic 회귀분석현시，병발증시5개유도공동적영향인소，년령시“운동능력”、“일상활동능력”、“동통／불괄”화“초필／억욱”등4개유도공동적영향인소，성별화 HbA1C시“동통／불괄”적량개영향인소。다원선성회귀분석현시，병발증수량대 EQ －5D 효용치유명현영향，병발증수량화 HbA1C대 EQ －VAS 평분야유명현영향。결론농촌당뇨병환자생활질량명현저우일반인군，초필／억욱시최주요문제，병발증시환자생활질량하강적주요영향인소。
Objective To evaluate the quality of life of patients with diabetes mellitus in rural areas,and to analyze the main influencing factors.Methods The EQ -5D and questionnaire were used to collect information of patients with diabetes mellitus and to evaluate their quality of life.Logistic regression,multiple liner regression analyses and other statistical methods were used to analyze the related factors of life quality among rural patients with diabetes mellitus. Results A total of 416 patients with diabetes mellitus were investigated.The mean score of EQ -5D and EQ -VAS of all cases were 0.835 ±0.197 and 61.48 ±16.47 respectively,and the rates of the participants had problems at the dimensions of mobility,self -care,usual activities,pain/discomfort and anxiety/depression were 21.15%,11.54%,17.31%, 38.46% and 47.12% respectively.Logistic regressions for the five dimensions showed that complications were the common significant factors of all five dimensions,and age was related to the dimensions of mobility,usual activities,pain/discomfort and anxiety/depression.Gender and HbA1C were influencing factors of pain/discomfort dimension.Multiple liner regression analyses showed that the number of complications was the influencing factors of the valuation of EQ -5D and the score of EQ -VAS.Conclusion The quality of life among patients with diabetes mellitus in rural areas was lower than healthy people.Anxiety/depression was the most common problem,and complications were the main factor for the decrease of quality of life among diabetic patients.