Baghianimoghadam M H, Ardekani M, Baghianimoghadam B
Health Faculty of Shahid Sadoughi University of Medical Sciences, Danesho BLV Yazd, Iran.
Acta Med Indones. 2009 Oct;41(4):175-80.
To improve the HRQOL of type 2 diabetes patients with health education and identify factors which may be associated with the QOL to decrease the complications of them.
the subjects in the present study were type 2 diabetes patients with range 25-75 years old. Hundred and twenty individuals were randomly selected from the list of the referee patients of the Diabetic Research patients of Yazd. They were divided into two groups: case group (60 persons) and control group (60 persons). The health related quality of life was measured with SF-20 questionnaire. The education as intervention factor was performed using face-to-face and group teaching methods to case group. All data which were collected before and after intervention (two months after education) were transferred directly into SPSS. For data analysis, Chi-square, t test were used.
the mean duration of diabetes of patients was 9.87 (SD=7.2) years. As much as 8.3% patients managed diabetes by diet only, while 84.4% and 7.3% were taking oral hypoglycemic agents and insulin respectively. About 72.4% of patients had neuropathy, and 66% retinopathy. Intervention caused an increase in scores of the six dimensions and QOL of case group after intervention. There was significant difference between the scores of four dimensions of SF-20 and QOL of case and control groups after intervention (P= 0.000-0.007).
Diabetes requires the patients to self-manage their disease and is a lifetime struggle to maintain and increase QOL. Treatment plans that inherently improve or include strategies to enhance patients' QOL may increase compliance, thereby improving these patients' metabolic status.
通过健康教育提高2型糖尿病患者的健康相关生活质量（HRQOL），并确定可能与生活质量相关的因素，以减少其并发症。
本研究的受试者为年龄在25至75岁之间的2型糖尿病患者。从亚兹德糖尿病研究患者的推荐患者名单中随机选取120人。他们被分为两组：病例组（60人）和对照组（60人）。使用SF - 20问卷测量健康相关生活质量。对病例组采用面对面和小组教学方法进行教育干预。干预前后（教育后两个月）收集的所有数据直接转入SPSS。数据分析采用卡方检验和t检验。
患者糖尿病的平均病程为9.87（标准差 = 7.2）年。多达8.3%的患者仅通过饮食控制糖尿病，而分别有84.4%和7.3%的患者服用口服降糖药和胰岛素。约72.4%的患者患有神经病变，66%患有视网膜病变。干预后病例组六个维度的得分和生活质量有所提高。干预后病例组和对照组在SF - 20四个维度的得分和生活质量方面存在显著差异（P = 0.000 - 0.007）。
糖尿病要求患者自我管理疾病，是维持和提高生活质量的终身斗争。本质上改善或包含提高患者生活质量策略的治疗方案可能会提高依从性，从而改善这些患者的代谢状况。
