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加强以患者为中心的护理:评估2型糖尿病管理中的生活质量。

Enhancing patient-centered care: Evaluating quality of life in type 2 diabetes management.

作者信息

Vlahovic Branka, Jha Vivek, Stojanovic Vukasin, Vojinovic Tanja, Dutta Arshiya, Dutta Pinaki, Medenica Sanja

机构信息

Metabolic Intensive Care Unit, Internal Medicine Clinic, Clinical Center of Montenegro, Podgorica, Montenegro.

Department of Endocrinology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, Punjab, India.

出版信息

PLoS One. 2025 Mar 11;20(3):e0319369. doi: 10.1371/journal.pone.0319369. eCollection 2025.

Abstract

AIMS

To evaluate quality of life (QoL) in patients with type 2 diabetes mellitus (T2DM).

METHODS

A cross-sectional study included 151 T2DM patients at the Clinical Centre of Montenegro. The Ferrans and Powers Quality of Life Index (QLI), validated for the Montenegrin population, assessed QoL across five domains. Participants rated items on a Likert scale from 1 (very dissatisfied) to 5 (very satisfied). Data were analysed using SPSS version 22.

RESULTS

The cohort included 51% women, with a mean age of 60.05 ±  11.63 years. Of the patients, 42% had diabetes for over a decade, and 64% had no additional health conditions. Overall, patients reported satisfactory QoL, especially in self-care and glucose management, though dissatisfaction was high regarding sexual life. Emotional support from family, housing, and friendships significantly contributed to life satisfaction, while financial concerns and job dissatisfaction were common. QoL showed no significant gender differences but declined with age and was notably lower in patients with comorbidities.

CONCLUSION

Patients with T2DM report generally satisfactory QoL, with notable concerns in socio-economic and health-related areas. Routine QoL assessments in clinical practice can improve communication, aid in early complication detection, and enable timely interventions to enhance patient outcomes.

摘要

目的

评估2型糖尿病(T2DM)患者的生活质量(QoL)。

方法

一项横断面研究纳入了黑山临床中心的151例T2DM患者。针对黑山人群验证的费兰斯和鲍尔斯生活质量指数(QLI)评估了五个领域的生活质量。参与者按照李克特量表对项目进行评分,从1分(非常不满意)到5分(非常满意)。使用SPSS 22版对数据进行分析。

结果

该队列包括51%的女性,平均年龄为60.05±11.63岁。其中42%的患者患有糖尿病超过十年,64%的患者没有其他健康问题。总体而言,患者报告的生活质量令人满意,尤其是在自我护理和血糖管理方面,不过对性生活的满意度较低。来自家庭、住房和友谊的情感支持对生活满意度有显著贡献,而经济担忧和工作不满意较为常见。生活质量没有显著的性别差异,但随年龄增长而下降,并且在合并症患者中明显较低。

结论

T2DM患者报告的生活质量总体令人满意,但在社会经济和健康相关领域存在显著担忧。临床实践中的常规生活质量评估可以改善沟通、有助于早期并发症检测,并能及时进行干预以改善患者预后。

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