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罗马尼亚东北部血糖控制不佳的 2 型糖尿病患者的治疗满意度、生活质量和总体健康的自我报告。

Self-Reported Satisfaction to Treatment, Quality of Life and General Health of Type 2 Diabetes Patients with Inadequate Glycemic Control from North-Eastern Romania.

机构信息

Diabetes, Nutrition and Metabolic Diseases, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.

Diabetes, Nutrition and Metabolic Diseases, "Sf. Spiridon" Emergency Hospital, 700111 Iași, Romania.

出版信息

Int J Environ Res Public Health. 2021 Mar 21;18(6):3249. doi: 10.3390/ijerph18063249.

Abstract

Type 2 diabetes mellitus (T2DM) undermines health and quality of life (QoL). This cross-sectional study surveyed 138 consenting T2DM patients from North-Eastern Romania with regard to their satisfaction with treatment, diabetes-related impact on QoL, and general health. The Romanian versions of Diabetes Treatment Satisfaction Questionnaire (DTSQ), Audit of Diabetes Dependent Quality of Life (ADDQoL-19), and 36-Item Short Form Health Survey (SF-36) questionnaires were used. Self-reports were analyzed in conjunction with clinical and metabolic profiling. The patients were 57.86 ± 8.82 years old, 49.3% men, treated with oral glucose-lowering drugs, presenting with inadequate glycemic control but without cardiovascular manifestations. The mean DTSQ and ADDQoL scores were 25.46 ± 0.61 and -2.22 ± 1.2, respectively. Freedom to eat, holidays, journeys, leisure, physical health, sex life, freedom to drink, and feelings about the future scored below average. The mean SF-36 physical and mental health scores were 47.78 ± 1.03 and 50.44 ± 1.38, respectively. The mean SF-6D score was 0.59 ± 0.04 (generated retrospectively using SF-36 data). Negative associations were significant between ADDQoL, age (r = -0.16), and body mass index (r = -0.23), < 0.01. Overall scores did not correlate with diabetes duration (except DTSQ, r = -1.18, = 0.02) or HbA. The results confirm other researchers' findings in Europe and nearby countries. Our patients seemed satisfied with treatment despite glycemic imbalance and viewed diabetes as a burden on QoL and especially freedom to eat.

摘要

2 型糖尿病(T2DM)损害健康和生活质量(QoL)。本横断面研究调查了罗马尼亚东北部的 138 名同意参与的 T2DM 患者,以了解他们对治疗的满意度、糖尿病对 QoL 的影响以及总体健康状况。使用了罗马尼亚语版糖尿病治疗满意度问卷(DTSQ)、糖尿病依赖生活质量评估量表(ADDQoL-19)和 36 项简明健康调查问卷(SF-36)。将自我报告与临床和代谢特征分析相结合。患者年龄为 57.86 ± 8.82 岁,49.3%为男性,接受口服降糖药物治疗,血糖控制不佳但无心血管表现。平均 DTSQ 和 ADDQoL 评分为 25.46 ± 0.61 和 -2.22 ± 1.2。饮食自由、假期、旅行、休闲、身体健康、性生活、饮酒自由和对未来的感觉得分低于平均值。SF-36 心理健康和生理健康评分的平均值分别为 47.78 ± 1.03 和 50.44 ± 1.38。SF-6D 平均得分为 0.59 ± 0.04(使用 SF-36 数据回顾性生成)。ADDQoL 与年龄(r = -0.16)和体重指数(r = -0.23)呈显著负相关,P < 0.01。总体评分与糖尿病病程(除 DTSQ 与病程呈负相关,r = -1.18,P = 0.02)或 HbA1c 无相关性。研究结果与欧洲和附近国家的其他研究结果一致。尽管血糖失衡,我们的患者似乎对治疗满意,并认为糖尿病是 QoL 的负担,尤其是饮食自由的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3031/8004112/778b3780aa82/ijerph-18-03249-g001.jpg

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