老年2 型糖尿病患者智谋情况及影响因素

Level and determinants of resourcefulness among elderly patients with type 2 Diabetes

摘要:

目的 了解老年2 型糖尿病（T2DM）患者智谋现状及影响因素。方法 采用一般资料调查表、 智谋量表及糖尿病（DM）特异生存质量量表对南充市某三甲医院内分泌科门诊就诊的老年T2DM 患者进行 调查。结果 老年T2DM 患者智谋得分（79.70±23.83）分，处于中等水平；生存质量得分（52.41±12.71） 分，处于中等水平。老年T2DM 患者年龄60 ～ 69 岁组的智谋得分高于年龄≥ 70 岁组患者（P <0.05）。不同 文化水平的智谋水平比较，差异有统计学意义（P <0.05），文化程度在小学及以下的患者智谋得分较高；病程 5 ～ 10 年患者智谋水平高于病程<5 年患者（P <0.05）；是否发生并发症是影响患者智谋得分的因素（P <0.05）。 多因素分析结果显示，老年T2DM 患者生存质量、病程为智谋的预测因素（P <0.05），可以解释总变异量的 35.2%。结论 对智谋较低的患者，应采取措施提高患者对社会资源的利用度、降低医疗费用支出，以达到减 轻社会养老负担的目的。

Abstract:

Objective To investigate the level of resourcefulness among elderly patients with type 2 diabetes. Methods Using the general information questionnaire, resourcefulness scale and diabetes specific quality of life scale to investigate the elderly patients with type 2 diabetes mellitus (T2DM) in outpatient clinic of endocrinology department. Results The total score of resourcefulness in elderly patients with type 2 diabetes was (79.70±23.83), which is at a moderate level. The total score of quality of life was (52.41±12.71), which is at a moderate level. The resourcefulness score of patients in 60 to 69 years old group were higher than that of patients in the age ≥ 70 (P < 0.01). There were significant differences in the level of resourcefulness among different cultural levels, which showed that the patients with education level in primary school and below scored higher in resourcefulness. (P < 0.05). The level of resourcefulness in patients with 5 to 10 years course of disease was higher than that in patients with less than 5 years course of disease, and complications were the factors influencing the score of resourcefulness (P < 0.05). The results of multiple stepwise linear regression analysis showed the predictive factors of senile type 2 diabetes mellitus were quality of life and course of disease (P < 0.05), which could explain 35.2% of the total variation. Conclusions For the patients with lower resourcefulness, measures should be taken to increase the utilization of social resource and to reduce the expenditure of medical expenses and the burden of social pension.