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2型糖尿病患者生活质量改变的预测因素

Predictive Factors for Altered Quality of Life in Patients with Type 2 Diabetes Mellitus.

作者信息

Albai Oana, Braha Adina, Timar Bogdan, Timar Romulus

机构信息

Department of Second Internal Medicine-Diabetes, Nutrition, Metabolic Diseases, and Systemic Rheumatology, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.

Department of Diabetes, Nutrition and Metabolic Diseases Clinic, "Pius Brînzeu" Emergency Clinical County University Hospital, 300723 Timisoara, Romania.

出版信息

J Clin Med. 2024 Jul 26;13(15):4389. doi: 10.3390/jcm13154389.

Abstract

: To evaluate the quality of life (QoL) in a group of patients with type 2 diabetes (T2DM) and to identify predictive factors to apply the necessary measures to improve it. : For this, 299 patients with T2DM were enrolled in a cross-sectional study, and their QoL was assessed using the EQ-5D-3L questionnaire. All patients underwent clinical exams, routine laboratory tests, and nerve conduction velocity (NCV) at the common peroneal nerve. : Patients had a median age of 66 (57; 70) years, median duration of T2DM of 10 (6; 15) years, median HbA1c of 8 (7; 9.3)%, and mean EQ-5D-3L score of 55%. In addition, 9.7% presented extreme difficulty in mobility, 18.5% severe difficulty in self-care, and 16.4% in usual activities. One-third presented with severe pain or discomfort, anxiety, or depression (level 3 EQ-5D-3L). DPN, heart failure (HF), cerebral stroke, and insulin therapy increased the likelihood of a reduced QoL (EQ-5D-3L < 50). The EQ-5D-3L score inversely correlated with serum creatinine, glycemic control, lipid profile, diabetes duration, age, mobility, self-care, pain/discomfort, usual activities, and anxiety/depression and positively correlated with NCV, HDLc, and eGFR. : Preventing neuropathic complications, chronic kidney disease, stroke, and HF and obtaining the glycemic and lipid targets could improve the QoL in patients with T2DM.

摘要

评估一组2型糖尿病(T2DM)患者的生活质量(QoL),并确定预测因素,以便采取必要措施改善生活质量。为此,299例T2DM患者纳入一项横断面研究,使用EQ-5D-3L问卷评估其生活质量。所有患者均接受临床检查、常规实验室检查以及腓总神经的神经传导速度(NCV)检测。患者的年龄中位数为66(57;70)岁,T2DM病程中位数为10(6;15)年,糖化血红蛋白(HbA1c)中位数为8(7;9.3)%,EQ-5D-3L平均得分为55%。此外,9.7%的患者在行动方面存在极度困难,18.5%的患者在自我护理方面存在严重困难,16.4%的患者在日常活动方面存在困难。三分之一的患者存在严重疼痛或不适、焦虑或抑郁(EQ-5D-3L 3级)。糖尿病周围神经病变(DPN)、心力衰竭(HF)、脑卒中以及胰岛素治疗会增加生活质量降低(EQ-5D-3L<50)的可能性。EQ-5D-3L得分与血清肌酐、血糖控制、血脂谱、糖尿病病程、年龄、行动能力、自我护理、疼痛/不适、日常活动以及焦虑/抑郁呈负相关,与NCV、高密度脂蛋白胆固醇(HDLc)和估算肾小球滤过率(eGFR)呈正相关。预防神经病变并发症、慢性肾脏病、卒中和HF并达到血糖和血脂目标可改善T2DM患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d45/11313388/03db83406172/jcm-13-04389-g001.jpg

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