Svenningsson Irene, Marklund Bertil, Attvall Stig, Gedda Birgitta
Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
Scand J Caring Sci. 2011 Dec;25(4):688-95. doi: 10.1111/j.1471-6712.2011.00879.x. Epub 2011 Mar 1.
To compare obese and normal-weight people with type 2 diabetes (T2DM), with a focus on their attitudes towards the disease, quality of life (QoL) and treatment from a gender perspective.
Two hundred and eighty-seven people with T2DM participated in a cross-sectional study. Health-related quality of life (HRQL) data from the Medical Outcomes Short Form Study 36 (SF 36), Well-Being Questionnaire (W-BQ12), Diabetes Attitude Scale (DAS) and Diabetes Treatment Satisfaction Questionnaire (DTSQs) were used. The results are presented descriptively. The Mann-Whitney U-test was conducted to examine differences between normal-weight and obese diabetics and between women and men.
The results of this study show that there was a gender difference in the perception of QoL; obese females with diabetes experienced more limitations in daily life due to physical and emotional problems than obese males with diabetes. Obese men had reduced physical and vitality scores compared to normal-weight individuals. Compared to normal-weight females with diabetes, obese women had lower vitality scores, more body pain and more severe physical impacts. The negative emotional impact for obese females with diabetes was also demonstrated by the results of the W-BQ12 questionnaire. Obese females with diabetes felt that the disease was more overwhelming and difficult to handle in comparison to obese males with diabetes. There was no difference between the groups in terms of how they experienced treatment.
There was a gender difference in the perceptions of QoL of people with T2DM. There was also a difference between the QoL of obese and normal-weight people with T2DM, as the obese may suffer from underlying depression. Further investigations are needed for health professionals to be able to meet the unique needs of each specific diabetic group.
比较肥胖型和正常体重的2型糖尿病（T2DM）患者，重点从性别角度探讨他们对疾病的态度、生活质量（QoL）和治疗情况。
287名2型糖尿病患者参与了一项横断面研究。使用了来自医学结局简表研究36（SF - 36）、幸福感问卷（W - BQ12）、糖尿病态度量表（DAS）和糖尿病治疗满意度问卷（DTSQs）的健康相关生活质量（HRQL）数据。结果以描述性方式呈现。采用曼 - 惠特尼U检验来检验正常体重和肥胖糖尿病患者之间以及女性和男性之间的差异。
本研究结果表明，在生活质量认知方面存在性别差异；肥胖的糖尿病女性因身体和情感问题在日常生活中比肥胖的糖尿病男性受到更多限制。与正常体重个体相比，肥胖男性的身体和活力得分降低。与正常体重的糖尿病女性相比，肥胖女性的活力得分更低，身体疼痛更多，身体影响更严重。W - BQ12问卷的结果也表明肥胖的糖尿病女性存在负面情绪影响。与肥胖的糖尿病男性相比，肥胖的糖尿病女性觉得疾病更具压倒性且更难应对。两组在治疗体验方面没有差异。
2型糖尿病患者在生活质量认知方面存在性别差异。肥胖型和正常体重的2型糖尿病患者在生活质量方面也存在差异，因为肥胖者可能患有潜在的抑郁症。卫生专业人员需要进一步调查，以便能够满足每个特定糖尿病群体的独特需求。
