老年糖尿病合并外周动脉疾病患者的生活质量。

Quality of life in elderly diabetic patients with peripheral arterial disease.

机构信息

Geriatric Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

Geriatr Gerontol Int. 2013 Apr;13(2):443-50. doi: 10.1111/j.1447-0594.2012.00928.x. Epub 2012 Aug 31.

DOI:10.1111/j.1447-0594.2012.00928.x

PMID:22934536

Abstract

AIM

To study the impact of peripheral arterial disease (PAD) on quality of life and functional status in Egyptian elderly diabetic patients.

METHODS

This case-control study included 90 non-demented patients aged 60 years and older. Quality of life assessment was carried out using the Short Form 36 health survey (SF-36), Arterial duplex for diagnosis of peripheral arterial disease; Mini-Mental State Examination, Geriatric Depression Scale, Activity of Daily Living and Instrumental Activity of Daily Living were used.

RESULTS

SF-36 domains (except emotional well-being) were significantly affected in diabetic patients with PAD compared with the diabetic patients without PAD. Most of functional assessment items were significantly affected in diabetic patients with PAD compared with diabetic patients without PAD. Increasing PAD severity and presence of PAD symptoms had a significant negative impact on SF-36 scores. Among diabetic complications in PAD patients, cardiovascular disease or stroke significantly affected quality of life.

CONCLUSION

PAD significantly affects quality of life and functional status in elderly diabetic patients.

摘要

目的

研究外周动脉疾病（PAD）对埃及老年糖尿病患者生活质量和功能状态的影响。

方法

本病例对照研究纳入了 90 名年龄在 60 岁及以上的非痴呆患者。使用简易精神状态检查、老年抑郁量表、日常生活活动和工具性日常生活活动来评估生活质量，使用动脉双功能超声诊断外周动脉疾病；采用 36 项简短健康调查问卷（SF-36）。

结果

与无 PAD 的糖尿病患者相比，有 PAD 的糖尿病患者的 SF-36 各领域（情感健康除外）均显著受影响。与无 PAD 的糖尿病患者相比，有 PAD 的糖尿病患者的大多数功能评估项目均显著受影响。PAD 严重程度的增加和 PAD 症状的存在对 SF-36 评分有显著的负面影响。在 PAD 患者的糖尿病并发症中，心血管疾病或中风显著影响生活质量。