评价门诊2型糖尿病患者口服降糖治疗的生活质量

Rafika Mutia Sari, J. Thobari, T. Andayani
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引用次数: 3

摘要

2型糖尿病是一种不能完全治愈的慢性疾病。因此,2型糖尿病会影响健康相关生活质量(HRQOL)。本研究的目的是根据患者的特点、药物组和治疗模式(单药与联合治疗)来确定2型糖尿病患者的生活质量。这项研究是在RSUP Dr. Sardjito Yogyakarta进行的。本研究采用横断面设计进行分析研究。数据收集是通过访谈和审查患者的医疗记录完成的。研究对象是有口服降糖药威胁的2型糖尿病患者,他们愿意填写问卷。本研究共纳入227例患者。采用糖尿病生活质量临床试验问卷(DQLCTQ)测量生活质量。分析发现,性别、年龄、糖尿病病程、文化程度、婚姻状况、职业等因素影响生活质量。二甲双胍组为67.9分,阿卡波糖组为67.7分,磺脲类为67.6分。差异无统计学意义(方差分析,p = 0.298)。单用降糖药组得分为70.6分,联合用药组得分为67.6分。独立样本t检验显示,这些评分有显著性差异(p = 0.002)。采用进入法进行线性回归分析,发现单、联合治疗组的生活质量差异受患者特征影响(p=0.049)。关键词:2型糖尿病,ADO治疗,生活质量,DQLCTQ
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EVALUATION QUALITY OF LIFE OF TYPE 2 DIABETIC PATIENTS WITH ORAL ANTIDIABETIC THERAPY AT AMBULATORY CLINIC IN RSUP DR. SARDJITO
Type 2 Diabetes Mellitus is a chronic disease which can’t be healed totally. Therefore type 2 DM will affect the Health Related Quality of Life (HRQOL). The purpose of this study was to determinate the QOL of type 2 DM patients based on patient’s characteristics, drug groups, and therapy pattern (single versus combination therapy). This study was conducted in RSUP Dr. Sardjito Yogyakarta. This study is an analytical research with cross sectional design. Data collection was done by interview and review of patient’s medical records. Research’s subjects are ambulatory patient with type 2 DM who are threated with oral antidiabetic(s) and willing to fill the questionnaire. Total 227 total patients were included in this study. Quality of life was measured by Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ). The analysis showed that gender, age, duration of DM, educational level, marital status and occupation affect the QOL. Patient taking metformin had 67.9 score, 67.7 for patient with acarbose therapy and patient taking sulfonylurea 67.6 score. Those differences were not significant (ANOVA test, p = 0.298). Patients taking single antidiabetic agent had 70.6, whereas those taking combination therapy had 67.6 score. Independent sample t‐test showed that those score have significant difference (p = 0.002). Linear regression analysis with enter method showed that QOL’s difference between single and combination therapy groups did affected by patient’s characteristics (p=0.049). Keywords : type 2 DM, ADO therapy, quality of life, DQLCTQ
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