首页|肺结核合并2型糖尿病患者生活质量影响因素及与自我管理能力的相关性

肺结核合并2型糖尿病患者生活质量影响因素及与自我管理能力的相关性

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目的:探析肺结核合并 2 型糖尿病患者生活质量影响因素及与自我管理能力的相关性。方法:选取 2022 年1 月—2023 年 10 月南华大学附属南华医院收治的 100 例肺结核合并 2 型糖尿病患者。收集所有患者一般资料,评价所有患者自我管理能力及生活质量。比较不同一般资料患者自我管理能力测定量表(exercise of self-care agency scale,ESCA)及健康状况调查简表(medical outcomes study 36-item short-form health survey,SF-36)评分。分析肺结核合并 2 型糖尿病患者生活质量影响因素。分析生活质量和自我管理能力的相关性。结果:无主要照护者、无并发症、营养风险评分 1~2 分、焦虑自评量表(self-rating anxiety scale,SAS)评分低、抑郁自评量表(self-rating depression scale,SDS)评分<53 分、入院首次糖化血红蛋白<7%、入院血糖低的患者SF-36 评分高于有主要照护者、有并发症、营养风险评分≥3 分、SAS评分高、SDS评分≥53 分、入院血糖高、入院首次糖化血红蛋白≥7%的患者,差异有统计学意义(P<0。05)。年龄低、女性、学历高、无主要照护者、无并发症、病程短、营养风险评分 1~2 分、入院血糖低的患者ESCA评分均高于年龄大、男性、学历低、有主要照护者、有并发症、病程长、营养风险评分≥3 分、入院血糖高的患者,差异有统计学意义(P<0。05)。主要照护者、并发症、SDS评分是影响生活质量的因素(P<0。05)。肺结核合并 2 型糖尿病患者生活质量和自我管理能力水平呈正相关(r=0。275,P=0。006)。结论:肺结核合并 2 型糖尿病患者生活质量与其自我管理能力水平相关,为提高患者的生活质量水平,可考虑从提高患者的自我管理能力水平进行相关干预,且患者是否需要人照护,是否合并并发症及SDS评分是影响生活质量的因素。
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

胡曦、陈莉

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南华大学护理学院 湖南 衡阳 421001

肺结核 2 型糖尿病 生活质量 自我管理能力 影响因素 相关性

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(12)
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