本文關(guān)鍵詞： 高血壓 糖尿病 生活質(zhì)量　出處：《中國老年學(xué)雜志》2017年24期 　論文類型：期刊論文

【摘要】：目的探討新鄉(xiāng)市洪門社區(qū)高血壓和糖尿病患者的生活質(zhì)量現(xiàn)狀及相關(guān)影響因素。方法 2016年1~12月采用整體隨機(jī)抽樣的方法選取洪門社區(qū)1 600名居民,通過問卷調(diào)查、現(xiàn)場(chǎng)測(cè)量和簡明健康狀況量表(SF-36)進(jìn)行數(shù)據(jù)收集,其中300例居民確診為高血壓和(或)糖尿病患者(高血壓275例、糖尿病153例、聯(lián)合患病64例),另選300例非高血壓、非糖尿病成人作為對(duì)照組,采用單因素和多因素Logistic回歸分析其危險(xiǎn)因素。結(jié)果高血壓組、糖尿病組、聯(lián)合患病組SF-36評(píng)分的各項(xiàng)得分均顯著低于對(duì)照組(均P0.05),其中糖尿病組精力、社會(huì)功能、心理健康三項(xiàng)的得分低于高血壓組(均P0.05),聯(lián)合患病組軀體健康、精力、社會(huì)功能、心理健康四項(xiàng)的得分低于高血壓組(均P0.05);單因素分析顯示,高血壓患者患病與年齡、性別、文化程度、體質(zhì)量指數(shù)(BMI)、是否規(guī)律運(yùn)動(dòng)有關(guān)(P0.05),糖尿病患者患病與文化程度、婚姻狀況、BMI、是否患高血壓有關(guān)(P0.05)。女性、文化程度大學(xué)及以上、規(guī)律運(yùn)動(dòng)是高血壓患者的保護(hù)因素,年齡65歲、BMI24 kg/m~2是其危險(xiǎn)因素(P0.05)。文化程度大學(xué)及以上是糖尿病患者的保護(hù)因素,BMI24 kg/m~2、未婚、高血壓是其危險(xiǎn)因素(P0.05)。結(jié)論高血壓和糖尿病患者的生活質(zhì)量都不同程度地低于健康同齡人。采取積極鍛煉和控制體重等措施能夠一定程度預(yù)防高血壓和糖尿病,控制血壓對(duì)于預(yù)防糖尿病也有積極意義。
[Abstract]:Objective to investigate the quality of life (QOL) of patients with hypertension and diabetes mellitus in Hongmen community of Xinxiang city. Methods from 2016 to December, the whole random sampling method was used to select Hongmen community 1. 600 inhabitants. Data were collected by questionnaire survey, field measurement and SF-36. Among them, 275 patients (hypertension) were diagnosed as hypertension and / or diabetes mellitus. 153 cases of diabetes mellitus, 64 cases of combined disease, another 300 cases of non-hypertension, non-diabetic adults as the control group. Univariate and multivariate Logistic regression analysis was used to analyze the risk factors. The scores of SF-36 score in the joint disease group were significantly lower than those in the control group (all P 0.05), among which the energy and social function of the diabetes group were significantly lower than those of the control group. The scores of three items of mental health were lower than that of hypertension group (all P 0.05), and the scores of physical health, energy, social function and mental health in the combined disease group were lower than those in the hypertension group (all P 0.05). Univariate analysis showed that the prevalence of hypertension was associated with age, sex, education level, body mass index (BMI), regular exercise related to P0.05, diabetes and education. Marital status BMI, whether or not hypertension related to P0.05. female, college education and above, regular exercise is the protective factor for patients with hypertension, age 65 years old. BMI24 kg/m~2 was the risk factor, P0.050.The protective factor for diabetic patients with education level or above was BMI24 kg / mm2, unmarried. Hypertension is its risk factor (P0.05). Conclusion the quality of life of patients with hypertension and diabetes is lower than that of their healthy peers to some extent. Taking active exercise and controlling body weight can prevent hypertension and diabetes to some extent. Controlling blood pressure is also positive for preventing diabetes.
【作者單位】： 新鄉(xiāng)醫(yī)學(xué)院三全學(xué)院;新鄉(xiāng)醫(yī)學(xué)院第三附屬醫(yī)院康復(fù)科;新鄉(xiāng)醫(yī)學(xué)院;
【基金】：2014年度河南省醫(yī)學(xué)科技攻關(guān)計(jì)劃項(xiàng)目(No.201403270)
【分類號(hào)】：R544.1;R587.1
【正文快照】： 目前發(fā)病率最高的慢性病包括心腦血管疾病、惡性腫瘤和糖尿病[1],據(jù)報(bào)道全世界每年由慢性病導(dǎo)致的死亡率和殘疾率逐年升高,每年造成的經(jīng)濟(jì)損失不可估量,在歐美等發(fā)達(dá)國家,高血壓、糖尿病引起的疾病負(fù)擔(dān)達(dá)到總疾病負(fù)擔(dān)的1.0%~4.7%[2],據(jù)國際糖尿病聯(lián)盟調(diào)查,僅糖尿病所致的醫(yī)療

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