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胰岛素依赖型糖尿病(IDDM)患者的自我评估生活质量和代谢控制情况。

Self-assessed quality of life and metabolic control in persons with insulin-dependent diabetes mellitus (IDDM).

作者信息

Hanestad B R, Hörnquist J O, Albrektsen G

机构信息

Institute of Nursing Science, Faculty of Medicine, University of Bergen, Norway.

出版信息

Scand J Soc Med. 1991 Mar;19(1):57-65. doi: 10.1177/140349489101900111.

Abstract

The aim of the study was to analyse the association between satisfaction with life and glycosylated haemoglobulin (HbA1). A quality of life questionnaire was administered to 247 persons with IDDM at a Diabetic Clinic in Bergen, Norway. The material was divided into two groups depending on their level of HbA1; HbA1 greater than 0.09 was labelled poorly regulated and a level of HbA1 less than or equal to 0.09 was labelled well regulated. The groups were compared with regard to different life domains and well-being scales. The statistical analysis showed that the well-regulated group had significantly higher average scores considering the somatic and activity/behavioural life domain ratings, the latter being only significantly different among people with higher education. The well-regulated group had lower average scores in the psychological and social life domain ratings, but these differences were not statistically significant. Among the well-being scales we found a statistically significant difference between poor and well-regulated persons only regarding sociability and loneliness. Well-regulated persons felt on average less sociable and more lonely than poorly-regulated persons.

摘要

该研究的目的是分析生活满意度与糖化血红蛋白(HbA1)之间的关联。在挪威卑尔根的一家糖尿病诊所,对247名胰岛素依赖型糖尿病患者进行了生活质量问卷调查。根据HbA1水平,将研究对象分为两组;HbA1大于0.09被标记为血糖控制不佳,HbA1小于或等于0.09被标记为血糖控制良好。对两组在不同生活领域和幸福感量表方面进行了比较。统计分析表明,在躯体和活动/行为生活领域评分方面,血糖控制良好组的平均得分显著更高,后者仅在受过高等教育的人群中存在显著差异。血糖控制良好组在心理和社会生活领域评分中的平均得分较低,但这些差异无统计学意义。在幸福感量表中,我们发现血糖控制不佳者和控制良好者之间仅在社交性和孤独感方面存在统计学显著差异。血糖控制良好者平均比血糖控制不佳者感觉社交性更低、更孤独。

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