在尼泊尔农村地区开展的一项基于社区的横断面研究：2 型糖尿病患者的健康相关生活质量。
Health-related quality of life among people living with type 2 diabetes: a community based cross-sectional study in rural Nepal.
机构信息
Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, 44614, Nepal.
School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Dharan, 56705, Nepal.
出版信息
BMC Public Health. 2019 Aug 27;19(1):1171. doi: 10.1186/s12889-019-7506-6.
BACKGROUND
Diabetes as being a chronic disease with a number of complications deteriorates the quality of life among the people with type 2 diabetes. Health related quality of life is widely used as an important health outcome measure worldwide. This study assessed the quality of life among the people living with type 2 diabetes in rural area of eastern Nepal.
METHODS
A cross sectional study was conducted among type 2 diabetic patient of rural area of eastern Nepal. Pre-tested Nepali version of D-39 questionnaire was administered through face to face interview to assess the quality of life. Door to door visit was done to identify all the type 2 diabetic patients residing in Baniyani village. Data was entered in Micro-soft excel 2007 and further processed in SPSS v.11.5 for analysis.
RESULTS
Highest quality of life mean (SD) score was in social burden domain (56.26 ± 12.07), followed by sexual functioning domain (54.35 ± 9.47), Anxiety and worry domain (54.33 ± 7.76), energy and mobility domain (51.46 ± 8.73) and diabetes control domain (50.08 ± 10.84). There was negative correlation between age and domains sexual functioning (p = 0.001) and energy and mobility (p = 0.002). In bivariate analysis, there was significance difference by sex in sexual functioning (p = 0.002), educational status in diabetes control (p = 0.021), smoking habit in energy and mobility (p = 0.038), duration of disease in diabetes control (p = 0.002) and sexual functioning (p = 0.001), presence of co-morbidity in social burden (p = 0.034) and family history of diabetes in anxiety and worry (p = 0.042).
CONCLUSION
Increasing age affects sexual life and mobility of the type 2 diabetic patient. The domain sexual functioning is difference by sex and presence of co-morbidity. Similarly, domain diabetic control is affected by duration of disease and educational status of the patient. And having family history of diabetes affects the mental state of the type 2 diabetic patient.
背景
糖尿病是一种慢性病，会导致 2 型糖尿病患者出现多种并发症，从而降低他们的生活质量。健康相关生活质量已被广泛用作全球重要的健康结果衡量标准。本研究评估了尼泊尔东部农村地区 2 型糖尿病患者的生活质量。
方法
本研究为一项横断面研究，纳入了尼泊尔东部农村地区的 2 型糖尿病患者。使用经过预测试的尼泊尔语版 D-39 问卷，通过面对面访谈评估生活质量。对居住在巴尼亚尼村的所有 2 型糖尿病患者进行挨家挨户的访问以确定其身份。将数据录入 Micro-soft excel 2007 并进一步在 SPSS v.11.5 中进行处理分析。
结果
生活质量的最高平均（SD）评分出现在社会负担领域（56.26±12.07），其次是性功能领域（54.35±9.47）、焦虑和担忧领域（54.33±7.76）、能量和移动性领域（51.46±8.73）和糖尿病控制领域（50.08±10.84）。年龄与性功能（p=0.001）和能量和移动性（p=0.002）领域呈负相关。在单变量分析中，性别在性功能（p=0.002）、教育程度在糖尿病控制（p=0.021）、吸烟习惯在能量和移动性（p=0.038）、疾病持续时间在糖尿病控制（p=0.002）和性功能（p=0.001）、合并症在社会负担（p=0.034）和糖尿病家族史在焦虑和担忧（p=0.042）方面存在统计学差异。
结论
年龄的增长会影响 2 型糖尿病患者的性生活和移动能力。性功能领域的差异与性别和合并症的存在有关。同样，糖尿病控制领域的差异受疾病持续时间和患者的教育程度的影响。糖尿病家族史会影响 2 型糖尿病患者的精神状态。
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