首页> 中文期刊>中国实用护理杂志 >老年2型糖尿病患者多重老年综合征与生命质量的关系研究

老年2型糖尿病患者多重老年综合征与生命质量的关系研究

摘要

Objective To explore the effects of multiple geriatric syndromes on quality of life in the hospitalized elderly type 2 diabetes. Methods A cross sectional study was carried out in 397 elderly patients with type 2 diabetes mellitus by convenience sampling method. Each subject was assessed for general condition, quality of life as well as chronic pain, chronic constipation, urinary incontinence, high risk of falling, malnutrition, sleep disorder, polypharmacy. The influencing factors of quality of life were analyzed by multiple stepwise regression analysis. Results The patients averagely had 3.23 ± 1.51 geriatric syndromes, and 87.2% (346/397) of them had two or more geriatric syndromes. The average physical component summary of patients was (277.11±64.30) points, and mental component summary was (307.00 ± 60.46) points. The influencing factors of physical component of quality of life were quantity of geriatric syndromes, number of complications and course of disease, while the influencing factors of mental component of quality of life were quantity of geriatric syndromes, number of complications. Conclusions Multiple geriatric syndromes are closely related to the patients′quality of life to a greater degree as demographic factors and condition of diabetes. Nursing staffs should pay attention to the assessment and intervention of multiple geriatric syndromes in elderly patients with type 2 diabetes, so as to improve patients′quality of life effectively.%目的:探讨多重老年综合征对住院老年2型糖尿病患者生命质量的影响。方法采用便利抽样法,选取青岛大学附属医院397例住院老年2型糖尿病患者作为调查对象,对患者一般情况、生命质量以及慢性疼痛、慢性便秘、尿失禁、跌倒风险、营养不良、睡眠障碍、多重用药进行评估。对患者生命质量影响因素进行单因素及多元逐步回归分析。结果研究对象平均患有老年综合征(3.23±1.51)个,其中87.2%(346/397)的患者存在2个或2个以上老年综合征。患者生理健康得分为(277.11±64.30)分,心理健康得分为(307.00±60.46)分。生理健康的影响因素包括老年综合征数量、并存症与并发症数量和病程,心理健康的影响因素为老年综合征数量和并发症与并存症数量。结论多重老年综合征与患者生理健康、心理健康密切相关,这种影响甚至超过人口学因素和糖尿病病情对患者生命质量带来的损害。护理人员应重视老年2型糖尿病患者多重老年综合征的评估与干预,从而有效改善患者生命质量。

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