| Objective To investigate the symptoms,function and quality of life among patients with diabetic peripheral neuropathy.To discuss the effect of diabetic peripheral neuropathy on the symptoms,function and quality of life of the patients and construct the structural equation model.It provides basis for clinical medical staff to treat and nursing care of diabetic patients with peripheral neuropathy.Methods This cross-sectional survey was conducted from January 2019 to August 2019 in Jiangsu Province Hospital of Traditional Chinese Medicine and Nanjing Drum Tower Hospital.A convenience sample of 130 patients with diabetes mellitus(DM)and 130 patients with diabetie peripheral neuropathy(DPN)who met inclusion and exclusion criteria were recruited from the endocrinology departments.Measures such as General information questionnaire,Michigan Neuropathy Screening Instrument score,Self-rating Depression Scale,Pittsburgh Sleep Quality Scale,Timed Up and Go test,Five Times Sit to Stand test,Berg balance scale and European five-dimensional health scale were used.Besides,structural equation model was constructed.Results(1)General data analysis results of patients in DM group and DPN group showed that there were statistically significant differences in age,diabetic course and complications between two groups(P<0.05).There was no significant difference in gender,education level,personal monthly income,type of medicare payment,HbAle,BMI,smoking and drinking habits between two groups(P>0.05).(2)The results of the intergroup analysis showed that there was a statistical difference in the the score of Self-rating Depression Scale among DM group and DPN group patients(P<0.05),in the DM group,patients with mild depression accounted for 30.0%,patients with moderate depression accounted for 13.1%,patients with severe depression accounted for 1.5%;in the DPN group,patients with mild depression accounted for 36.2%,patients with moderate depression accounted for 26.1%,patients with severe depression accounted for 6.9%.There was a statistically significant difference in the score of Pittsburgh Sleep Quality Scale between the two groups(P<0.05).There were statistically significant differences between the two groups in sleep quality,sleep time,sleep disorder and daytime functional dimension(P<0.05),but no statistically significant differences in sleep time,sleep efficiency and hypnotic drug dimension(P>0.05).There was a statistical difference in Michigan Neuropathy Screening Instrument scores between the two groups(P<0.05),and there was a significant difference in the proportion of numbness,burning pain,tingling,weakness and weakness symptoms between the two groups.There were statistically significant differences:in Timed Up and Go test scores,Five Times Sit to Stand test scores and Berg balance scale scores between the two groups(P<0.05).There was a statistical difference in EQ-5D score between the two groups.There were statistically significant differences in the dimensions of action,daily activities,pain and discomfort,and anxiety(P<0.05),but no statistically significant differences in the dimensions of self-care(P>0.05).(3)The correlation analysis results showed that the scores of Self-rating Depression Scale,Michigan Neuropathy Screening Instrument score,Pittsburgh Sleep Quality Scale,Five Times Sit to Stand test and Timed Up and Go test scale were negatively correlated with the scores of EQ-5D scale(P<0.01);the score of Berg balance scale was positively correlated with that of EQ-5D scale(P<0.01);there was a positive correlation between the scores of the Self-rating Depression Scale,Pittsburgh Sleep Quality Scale and Michigan Neuropathy Screening Instrument score(P<0.01);there was a positive correlation between the scores of Five Times Sit to Stand test and Timed Up and Go test,which were used to measure the functional status of patients;there was a negative correlation between the scores of the Five Times Sit to Stand test,Timed Up and Go test and the Berg balance scale.These differences were statistically significant(P<0.01).(4)The structural equation model results show that the initial model fitting is not ideal.The factor of Timed Up and Go test has a low load,so this factor is removed and residuals are added to modify the model.The modified model fitted well,and all the structoral coefficients were statistically significant(P<0.05),This model can better explain the relationship between symptoms,function and quality of life in DPN patients.Conclusion The occurrence of diabetic peripheral neuropathy can directly reduce the quality of life about patients,In addition,peripheral neuropathy can cause some symptoms,including neurological symptoms such as pain and numbness,as well as depression,sleep disorders.It can also affect the patient’s functional status.These factors also affect the quality of life of patients.Therefore,when treating and caring for patients with diabetic peripheral neuropathy,medical staff should take into account not only the neurological symptoms of patients,but also the psychological problems and sleep disorders brought by the disease.In addition,effective measures should be taken to improve the fimctional status of patients and ultimately improve the quality of life about patients with diabetic peripheral neuropathy... |
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