Araki A, Izumo Y, Inoue J, Takahashi R, Takanashi K, Teshima T, Yatomi N, Shimizu Y, Ito H
Section of Endocrinology, Tokyo Metropolitan Geriatic Hospital.
Nihon Ronen Igakkai Zasshi. 1995 Dec;32(12):786-96. doi: 10.3143/geriatrics.32.786.
To assess the quality of life (QOL) in elderly diabetic patients, 452 elderly outpatients aged over 60 years old who lived in 4 districts near our hospital were visited at home and of them were asked to follow 83 questionnaires concerning QOL by professional interviewers. Using the 37 questions about the impact of diabetes on elderly diabetic patients, we have developed the Elderly Diabetes Impact Scales (EDIS). The EDIS consisted of 6 subscales (burden of symptoms, burden of daily life, burden of diet therapy, burden of drug therapy, satisfaction, worry). Responses to questions were estimated with a 4-point multiple-choice assessment. The impact was rated from 1 (no impact, never worried, or very satisfied) to 4 (very burdened, always worried, or very dissatisfied) for each question and total EDIS scores were calculated by summing up the scores of the 37 questions. The internal consistency of the EDIS and its six subscales were of a satisfactory magnitude (0.66-0.88). There was also a significant correlation between the EDIS and PGC morale scales (r = -0.48, p < 0.001) and between the EDIS subscales and 3 moral components suggesting a convergent validity of the EDIS. The EDIS may be useful in evaluating the quality of life in elderly patients with diabetes mellitus.
为评估老年糖尿病患者的生活质量（QOL），我们对居住在我院附近4个区的452名60岁以上的老年门诊患者进行了家访，并由专业访谈人员请他们填写83份有关生活质量的问卷。利用其中37个关于糖尿病对老年糖尿病患者影响的问题，我们编制了老年糖尿病影响量表（EDIS）。EDIS由6个分量表组成（症状负担、日常生活负担、饮食治疗负担、药物治疗负担、满意度、担忧）。问题的回答采用4级多项选择评估。每个问题的影响程度从1分（无影响、从不担心或非常满意）到4分（负担很重、总是担心或非常不满意）进行评分，EDIS总分通过将37个问题的得分相加得出。EDIS及其6个分量表的内部一致性程度令人满意（0.66 - 0.88）。EDIS与PGC士气量表之间也存在显著相关性（r = -0.48，p < 0.001），EDIS分量表与3个道德成分之间也存在显著相关性，这表明EDIS具有收敛效度。EDIS可能有助于评估老年糖尿病患者的生活质量。
