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2 型糖尿病患者血糖控制不佳,其生活质量评分(用 36 项简短健康调查问卷衡量)较低。

Type 2 diabetes mellitus patients with poor glycaemic control have lower quality of life scores as measured by the Short Form-36.

机构信息

Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

出版信息

Singapore Med J. 2010 Feb;51(2):157-62.

Abstract

INTRODUCTION

This study aimed to compare the quality of life based on the Short Form-36 (SF-36) between two different groups of type 2 diabetes mellitus patients with glycaemic control: those with a glycosylated haemoglobin (HbA1c) level at or below 7.5 percent and those above 7.5 percent.

METHODS

In this cross-sectional study, a generic SF-36 questionnaire was self-administered to patients with type 2 diabetes mellitus. Based on the HbA1c level, the mean SF-36 scale scores were compared. The analysis of covariance was used to obtain the adjusted mean scores of the SF-36 scales while controlling for age and duration of type 2 diabetes mellitus.

RESULTS

150 patients with type 2 diabetes mellitus were analysed. There were 63 (42 percent) women and 87 (58 percent) men, and their mean HbA1c level was 8.9 percent (SD 2.4 percent). When comparing the two groups of patients with different HbA1c levels, the adjusted means of four scales: physical health functioning, general health, social functioning and mental health, differed significantly between the two. The SF-36 scale scores in type 2 diabetes mellitus patients were also lower than those of the SF-36 norms for the Malaysian population.

CONCLUSION

Type 2 diabetes mellitus patients with poor glycaemic control had lower mean SF-36 scores in physical functioning, general health, social functioning and mental health, and the SF-36 scores in these patients were also lower than the SF-36 norms of the Malaysian population.

摘要

简介

本研究旨在比较糖化血红蛋白(HbA1c)控制在 7.5%及以上和以下的 2 型糖尿病患者两组人群的生活质量(基于健康调查简表 36 项)。

方法

在这项横断面研究中,采用健康调查简表 36 项自评问卷对 2 型糖尿病患者进行调查。根据 HbA1c 水平,比较平均健康调查简表 36 项各尺度评分。采用协方差分析获得调整后的健康调查简表 36 项各尺度平均评分,同时控制年龄和 2 型糖尿病病程。

结果

共分析了 150 例 2 型糖尿病患者。其中 63 例(42%)为女性,87 例(58%)为男性,平均 HbA1c 水平为 8.9%(标准差 2.4%)。当比较 HbA1c 水平不同的两组患者时,四个尺度(身体机能、总体健康、社会功能和心理健康)的调整平均水平差异有统计学意义。2 型糖尿病患者的健康调查简表 36 项评分也低于马来西亚人群的健康调查简表 36 项常模。

结论

血糖控制不佳的 2 型糖尿病患者的身体机能、总体健康、社会功能和心理健康方面的平均健康调查简表 36 项评分较低,且这些患者的健康调查简表 36 项评分也低于马来西亚人群的健康调查简表 36 项常模。

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