| Objective:to understand the quality of life in elderly patients with type2diabetes and itsinfluencing factors, the univariate and stepwise regression analysis of influencing factorsof quality of life of patients, thereby giving early intervention, to prevent disability, deathand other complications, so as to improve the life quality of elderly patients. Application ofThe Medical Outcomes—36Item Short Form Health Survey (SF-36), Diabetes SpecificQuality of Life Scale （DSQL） and elderly patients with type2diabetes quality of lifequestionnaire (homemade), survey of life quality of elderly patients, puts forward asimplified, the reliability high fit elderly diabetes quality of life scale for chronic diseaseprevention and control, guidance of doctors in elderly patients with diabetes quality of lifeassessment for the relevant departments, improve the life quality of elderly patients anddecision-making provide a basis.Method:using The Medical Outcomes—36Item Short Form Health Survey (SF-36),Diabetes Specific Quality of Life Scale（DSQL） and elderly patients with type2diabetesquality of life questionnaire survey (homemade), aged60years and older patients withtype2diabetes, and patient age, occupation, marriage survey, educational level, monthlyincome, diabetes mellitus clinical course, complications of diabetes, concomitant diseases,family history of diabetes, body mass index, fasting blood glucose, postprandial bloodglucose, glycosylated hemoglobin, urine trace albumin and other parameters, presents asimplified feasible for senile diabetes patients quality of life scale, at the same time onelderly patients with type2diabetes quality of life and its influencing factors analysis.Result:1. effect on elderly patients with type2diabetes quality of life the results of singlefactor analysis three scale scores in different age differences have statistical significance, thehigher the age, lower score.The Medical Outcomes—36Item Short Form Health Survey (SF-36) andelderly patients with type2diabetes quality of life questionnaire (homemade) scores indifferent course of disease the difference has statistics significance, the longer the course ofdisease, lower score. And Diabetes Specific Quality of Life Scale （DSQL） differentcourse has no statistically significant difference.aged type2diabetes quality of life questionnaire (homemade) scores in differentfasting plasma glucose level difference has statistics significance, blood glucose value ishigher, lower score. While The Medical Outcomes—36Item Short Form Health Survey(SF-36) and Diabetes Specific Quality of Life Scale （DSQL） were not statisticallysignificant.aged type2diabetes quality of life questionnaire (homemade) scores in different2hours postprandial blood glucose level difference has statistics significance, blood glucosevalue is higher, lower score. While The Medical Outcomes—36Item Short Form HealthSurvey (SF-36) and Diabetes Specific Quality of Life Scale （DSQL） scores were notstatistically significant.aged type2diabetes quality of life questionnaire (homemade) scores in differentHbA1c level difference has statistics significance, glycosylated hemoglobin was6.5%~7.3%, the highest score,>11.1%, the lowest score. While The Medical Outcomes—36Item Short Form Health Survey (SF-36) and Diabetes Specific Quality of Life Scale（DSQL）scores were not statistically significant.diabetic macrovascular complications on three scale score difference isstatistically significant, P <0.001, and the incidence of stroke patients, in each scale scoreswere significantly lower than those of patients without complications.microvascular complications in The Medical Outcomes—36Item Short FormHealth Survey (SF-36) and elderly patients with type2diabetes quality of lifequestionnaire (homemade) score difference is statistically significant, P <0.001, thedegree of microvascular complications, lower score. And Diabetes Specific Quality of LifeScale （DSQL） scores has no statistically significant difference.2. in elderly patients with type2diabetes quality of life and its influencing factors ofthe correlation coefficient analysisage and The Medical Outcomes—36Item Short Form Health Survey (SF-36) ofeach dimension associated with statistically significant, P <0.001, and the age and the score was negatively related to each dimension. Course and physical function, emotionalfunction, social function, physical pain in four dimensions related to statistical significance,is also negatively related. Fasting blood glucose and the overall health of negativecorrelation.Diabetes Specific Quality of Life Scale （DSQL） in each dimension correlationcoefficient analysis: age, course of disease and physiological function dimensioncorrelation is statistically significant, P <0.001, was negatively correlated to. Fasting bloodglucose, postprandial blood glucose, glycosylated hemoglobin and mental/spiritualdimension, dimension correlation treatment there was a statistically significant difference,P <0.001, was negatively correlated to.in elderly patients with type2diabetes quality of life questionnaire (homemade)in each dimension correlation coefficient analysis: age, course of disease and the generaldimension, complications, physiological function dimension correlation dimension isstatistically significant, P <0.001, was negatively correlated to. Fasting blood glucose andin general, complications, treatment of dimension dimension dimension correlation isstatistically significant, negative correlation. Postprandial plasma glucose, glycosylatedhemoglobin and general dimension, dimension, relational dimension of socialcomplications, treatment of dimension correlation is statistically significant, negativecorrelation.3. effects on elderly patients with type2diabetes quality of life and its influencingfactors in The Medical Outcomes—36Item Short Form Health Survey (SF-36)，Diabetes Specific Quality of Life Scale （DSQL）and in elderly patients with type2diabetes quality of life questionnaire (homemade) total score and each dimension of themultiple stepwise regression analysis results show that the model fit well.4. in elderly patients with type2diabetes quality of life questionnaire (homemade)feasibility, reliability, validity analysiscompleted in elderly patients with type2diabetes quality of life questionnaire(homemade) patients filling time is5minutes on average, illustrate the scale has goodfeasibility.the self-made questionnaire of physiological, psychological, spiritual dimensiondimension dimension, treatment of reliability analysis, calculation of the dimension ofcrown Baja, where physiological, psychological/spiritual dimension dimension KroneBaja>0.75, each under the dimension problem of internal consistency. Treatment ofdimension dimension crowns and0.633for Baja, the internal consistency of the poor. content validity comparison: self-made questionnaire content strictly according totraditional standard scale, access to relevant documents drawn up. The self-madequestionnaire in patients with diabetes specific quality of life scale in the same dimensioncorrelation analysis, that in addition to social relationship dimension two scale withoutstatistical significance, the remaining significant statistically higher correlation, eachdimension.Conclusion:in elderly patients with type2diabetes quality of life questionnaire (homemade) hasgood feasibility, high reliability, validity and responsiveness of, can be used in elderlypatients with type2diabetes quality of life survey. Age, duration of diabetes, glycemiccontrol, diabetic complications, psychological factors (factors such as depression oranxiety) is reduced in elderly patients with type2diabetes quality of life for patients withdiabetes should be early, aggressive intervention, prevention of complications, and payattention to psychological intervention, to improve the quality of life. |
