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目的了解Ⅱ型糖尿病公务员患者生存质量的状况,探讨Ⅱ型糖尿病公务员患者生存质量与抑郁、社会支持的关系。方法采用抑郁自评量表、社会支持量表、糖尿病特异生存质量量表对随机抽取的山东省3所医院职业为公务员的Ⅱ型糖尿病56名患者进行调查。结果①文化程度高、无其他疾病、不伴随抑郁的个体生存质量水平高于文化程度低(F=3.24,P<0.05)、伴有其他疾病(t=2.62,P<0.05)、合并抑郁(t=3.18,P<0.01)的个体;②社会支持与生存质量(r=-0.38,P<0.01)、对生理的影响(r=-0.39,P<0.01)、对心理的影响(r=-0.38,P<0.01)呈显著负相关,抑郁与生存质量(r=0.49,P<0.01)、对生理的影响(r=0.49,P<0.01)、对心理的影响(r=0.41,P<0.01)、对治疗的影响(r=0.31,P<0.05)呈显著正相关;③对支持的利用度及抑郁水平可较好的预测生存质量的状况。结论 II型糖尿病公务员病人生存质量与文化程度及是否伴有其他疾病有关,抑郁水平可较好地预测生存质量的状况;社会支持也是影响糖尿病患者生存质量的重要因素。
Objective To investigate the quality of life of patients with type 2 diabetes civil servants and to explore the relationship between quality of life and depression and social support in type 2 diabetic civil servants. Methods A total of 56 patients with type Ⅱ diabetes who were employed as civil servants in 3 hospitals in Shandong Province were randomly selected from the Self-rating Depression Scale, Social Support Scale and Diabetes-Specific Quality of Life Scale. Results ① The quality of life of individuals with high education and without other diseases without depression was higher than those with low education (F = 3.24, P <0.05), with other diseases (t = 2.62, P <0.05) (r = -0.39, P <0.01), and psychological impact (r = -0.38, P <0.01); (2) The social support and quality of life (R = 0.49, P <0.01) and psychological effects (r = 0.41, P <0.01, P <0.01, P <0.01). There was a significant negative correlation between depression and quality of life <0.01), and there was a significant positive correlation between treatment effect (r = 0.31, P <0.05); ③Supported utilization and depression level could better predict the quality of life. Conclusions The quality of life of patients with type 2 diabetes is related to their educational level and other diseases. The level of depression can predict the quality of life better. Social support is also an important factor affecting the quality of life of patients with type 2 diabetes.