Camacho F, Anderson R T, Bell R A, Goff D C, Duren-Winfield V, Doss D D, Balkrishnan R
Department of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1063, USA.
Qual Life Res. 2002 Dec;11(8):783-96. doi: 10.1023/a:1020858102483.
We sought to describe and find correlates of health-related quality of life among under-served low-income patients in North Carolina with diabetes mellitus.
A telephone survey of 310 patients recording quality of life, patient satisfaction, self-reported health, and patient complaints was conducted as part of a diabetes care improvement project. Demographic and clinical records were available for 249 of these patients: 69% were female, 45% were minority, and 84% had type 2 diabetes. Ages ranged from 18 to 88 years with a mean of 56. Quality of life indices consisted of SF-36 physical functioning, mental health and diabetes-39 sub-scores.
Comparison to SF-36 norms showed the sample had lower sub-scores than expected. The multivariate analysis suggested that being within an acceptable metabolic control predicted better quality of life physically, mentally, and sexually. Strong associations were detected between most sub-scores and complaints involving legs and feet, self-rated vision, and hassles in self-management.
The consistent associations between the sub-scores and complaints, symptoms, and hassles underscore the strong relationship quality of life may share with the severity of diabetes complications as well as with psychosocial factors. Significantly lower quality of life in this sample highlights the need to improve the care of minority low-income diabetes patients.
我们试图描述并找出北卡罗来纳州服务不足的低收入糖尿病患者健康相关生活质量的相关因素。
作为糖尿病护理改善项目的一部分，对310名患者进行了电话调查，记录生活质量、患者满意度、自我报告的健康状况和患者投诉。其中249名患者有人口统计学和临床记录：69%为女性，45%为少数族裔，84%患有2型糖尿病。年龄范围为18至88岁，平均年龄为56岁。生活质量指数包括SF-36身体功能、心理健康和糖尿病-39子评分。
与SF-36常模相比，样本的子评分低于预期。多变量分析表明，处于可接受的代谢控制范围内预示着在身体、心理和性方面有更好的生活质量。在大多数子评分与涉及腿部和足部的投诉、自我评估视力以及自我管理中的麻烦之间发现了强烈关联。
子评分与投诉、症状和麻烦之间的一致关联强调了生活质量可能与糖尿病并发症的严重程度以及心理社会因素密切相关。该样本中显著较低的生活质量凸显了改善少数族裔低收入糖尿病患者护理的必要性。
