Tulloch-Reid M K, Walker S P
Tropical Medicine Research Institute, The University of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2009 Jun;58(3):250-6.
As the prevalence of youth onset diabetes in Jamaica increases, the impact of this disease on Health Related Quality of life (QOL) needs to be evaluated.
Patients from two major referral hospitals had QOL assessed using a modified diabetes-39 questionnaire administered by a trained interviewer. Subscale scores were transformed to standard scale scores ranging from 0 (lowest impact) to 100 (highest impact) and the impact of socio-demographic factors, treatment and medical history on QOL examined.
Fifty-seven participants (21M, 36F, mean age 19.0 +/- 5.1 years, diabetes duration 2.7 +/- 2.2 years, 96% black) had QOL assessed. Anxiety and worry had the greatest impact (median score = 41) and sexual functioning, the lowest impact (median Score = 0) on QOL. Older age, later age of onset, longer diabetes duration, better glucose control and not using insulin were associated with a higher anxiety and worry score. Multiple regression analysis was conducted to determine which of these were associated with the anxiety and worry score after controlling for age. Anxiety and worry increased with age (regression coefficient (SE); 2.05[0.68]) and was higher in those on oral agents compared to those using insulin (-27.9 [10.9]).
Measures to address anxiety and worry in Jamaican youth with diabetes need to be implemented to minimize the impact the disease may have on their QOL.
随着牙买加青少年糖尿病患病率的上升，需要评估这种疾病对健康相关生活质量（QOL）的影响。
来自两家主要转诊医院的患者使用经过培训的访谈员管理的改良糖尿病-39问卷进行生活质量评估。将子量表分数转换为标准量表分数，范围从0（影响最小）到100（影响最大），并检查社会人口学因素、治疗和病史对生活质量的影响。
对57名参与者（21名男性，36名女性，平均年龄19.0 +/- 5.1岁，糖尿病病程2.7 +/- 2.2年，96%为黑人）进行了生活质量评估。焦虑和担忧对生活质量的影响最大（中位数分数 = 41），性功能对生活质量的影响最小（中位数分数 = 0）。年龄较大、发病年龄较晚、糖尿病病程较长、血糖控制较好以及未使用胰岛素与较高的焦虑和担忧分数相关。进行多元回归分析以确定在控制年龄后哪些因素与焦虑和担忧分数相关。焦虑和担忧随年龄增加（回归系数（标准误）；2.05[0.68]），与使用胰岛素的人相比，口服药物治疗的人的焦虑和担忧程度更高（-27.9 [10.9]）。
需要采取措施解决牙买加糖尿病青少年的焦虑和担忧问题，以尽量减少该疾病对他们生活质量的影响。
