Araki A, Izumo Y, Inoue J, Hattori A, Nakamura T, Takahashi R, Takanashi K, Teshima T, Yatomi N, Shimizu Y
Section of Endocrinology, Tokyo Metropolitan Geriatic Hospital.
Nihon Ronen Igakkai Zasshi. 1995 Dec;32(12):804-9. doi: 10.3143/geriatrics.32.804.
As a part of a QOL study in elderly diabetes mellitus, we performed an interview conducted by professional interviewers on the sense of burden of dietary therapy in 383 elderly outpatients with diabetes mellitus aged over 60 years old. We used a scale on Burden of Dietary Therapy (BDT) that consisted of 7 questions (calorie restriction, dietary balance, regular dietary habits, restriction of favorite food, restriction of amounts of snacks, restrictions when eating out, burden of total dietary therapy). The sense of burden was rated from 1 (never burdened) to 4 (heavily burdened) for each question and the alpha coefficiency of the BDT scale was 0.80. Women, relatively younger elderly patients, hyperglycemic patients, or tablet-treated patients had higher BDT scale scores. The lower the positive family support scores and the higher the negative social support scores the greater was the BDT score. High BDT scores were significantly associated with low PGC moral scales (p < 0.001). The results suggest that the burden of dietary therapy could lower the quality of life in elderly patients with diabetes mellitus.
作为老年糖尿病患者生活质量研究的一部分，我们让专业访谈人员对383名60岁以上的老年糖尿病门诊患者进行了关于饮食治疗负担感的访谈。我们使用了饮食治疗负担量表（BDT），该量表由7个问题组成（热量限制、饮食平衡、规律饮食习惯、喜爱食物的限制、零食量的限制、外出就餐时的限制、总体饮食治疗的负担）。每个问题的负担感从1分（从未有负担）到4分（负担很重）进行评分，BDT量表的α系数为0.80。女性、相对年轻的老年患者、血糖高的患者或接受片剂治疗的患者的BDT量表得分较高。积极的家庭支持得分越低，消极的社会支持得分越高，BDT得分就越高。高BDT得分与低PGC道德量表显著相关（p<0.001）。结果表明，饮食治疗的负担可能会降低老年糖尿病患者的生活质量。
