Influencing Factors of Quality of Life in Patients with Pulmonary Tuberculosis Complicated with Type 2 Diabetes Mellitus and Its Correlation with Self-management Ability
Objective:To explore the influencing factors of quality of life in patients with pulmonary tuberculosis complicated with type 2 diabetes mellitus and its correlation with self-management ability.Method:A total of 100 patients with pulmonary tuberculosis combined with type 2 diabetes admitted to Affiliated Nahua Hospital,University of South China from January 2022 to October 2023 were selected.General data of all patients were collected and their self-management ability and quality of life were evaluated in all patients.The exercise of self-care agency scale(ESCA)and medical outcomes study 36-item short-form health survey(SF-36)scores of patients with different general data were compared.The influencing factors of quality of life in patients with pulmonary tuberculosis complicated with type 2 diabetes was analyzed.The correlation between quality of life and self-management ability was analyzed.Result:The SF-36 scores of patients with no primary caregiver,no complications,1-2 points of nutritional risk score,low self-rating anxiety scale(SAS)and self-rating depression scale(SDS)<53 points,first glycosylated hemoglobin<7%on admission,and low blood glucose on admission were higher than those in patients with primary caregiver,with complications,nutritional risk≥3 points,high SAS score,SDS score≥53 points,high blood glucose on admission,and first glycosylated hemoglobin≥7%on admission,the differences were statistically significant(P<0.05).The ESCA scores of patients with low age,female,high education,no primary caregiver,no complications,short disease course,nutritional risk 1-2 points,and low blood glucose on admission were higher than those of patients with older age,male,low education,primary caregiver,complications,long disease course,nutritional risk score≥3 points,and high blood glucose on admission,the differences were statistically significant(P<0.05).Primary caregiver,complications and SDS score were the factors affecting quality of life(P<0.05).There was a positive correlation between quality of life and self-management ability in patients with tuberculosis and type 2 diabetes(r=0.275,P=0.006).Conclusion:The quality of life of patients with tuberculosis complicated with type 2 diabetes is related to their self-management ability.In order to improve the quality of life of patients,relevant interventions can be considered to improve the self-management ability of patients.In addition,whether patients need human care,whether they have complications and SDS score are factors affecting the quality of life.
TuberculosisType 2 diabetes mellitusQuality of lifeSelf-management abilityThe influencing factorsRelevance