Quality of life of patients with Diabetes Mellitus Types 1 and 2 from a referal health centre in Minas Gerais, Brazil
Quality of life of patients with Diabetes Mellitus Types 1 and 2 from a referal health centre in Minas Gerais, Brazil
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DOI：
10.1586/17512433.2016.1152180
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发表时间：
2016-05-03
影响因子：
4.4
通讯作者：
Acurcio, Francisco de Assis
中科院分区：
文献类型：
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作者：
da Mata, Adriana Rodrigues;Alvares, Juliana;Acurcio, Francisco de Assis
生活质量 (QoL) 特征对于糖尿病（DM 1 和 2）患者很重要。目的：评估糖尿病患者的生活质量和糖尿病相关因素。方法：对就读大学医院的患者进行访谈，了解他们的社会人口学、临床和生活质量特征，并通过 EQ-5D 测量生活质量。进行了描述性分析、相关性、线性回归、单变量和多变量分析。结果：346 名患者参与其中，其中 67% 为女性，59% 患有 DM2，32% 患有 DM1。 DM 1 患者的平均生活质量为 0.7369，视网膜病变、抑郁、血脂异常和严重的低血糖危象显着降低了生活质量。 2 型糖尿病患者的平均生活质量为 0.6582，高血压、神经病、抑郁症、癌症和血脂异常显着降低生活质量。生活质量下降也与缺乏体育锻炼有关。同时患有 DM1 和 2 的男性的生活质量高于女性。结论：需要更好的疾病监测和控制并结合有效的活动来改善自我护理、减少并发症并提高患者的生活质量。
Quality of life (QoL) characteristics are important in patients with diabetes mellitus (DM 1 and 2). Aim: Evaluate QoL and DM-associated factors among diabetic patients. Methods: Patients attending a University Hospital were interviewed about their sociodemographic, clinical and QoL characteristics, with QoL measured via the EQ-5D. Descriptive analysis, correlation, linear regression, univariate and multivariate analysis were performed. Results: 346 patients took part, comprising 67% women, 59% with DM2, and 32% DM1. DM 1 patients had a mean QoL score of 0.7369, with retinopathy, depression, dyslipidemia and a serious hypoglycemic crisis significantly reducing QoL. Patients with DM type 2 had a mean QoL score of 0.6582, with hypertension, neuropathy, depression, cancer and dyslipidemia significantly reducing QoL. Reduced QoL also correlated with a lack of physical exercise. Males with both DM1 and 2 had a better QoL than females. Conclusion: Need for better disease monitoring and control combined with effective activities to improve self-care, reduce complications and improve patients' QoL.