【摘要】 目的探讨糖尿病视网膜病变患者生存质量及其影响因素,寻求有效干预措施。方法采用视功能损害眼病患者生存质量量表、特质应对方式问卷(TCSQ)和自编的基本情况问卷,对268例糖尿病视网膜病变患者进行问卷调查;描述患者的生存质量现状并采用广义线性回归分析筛选影响其主要的影响因素。结果糖尿病视网膜病变患者症状与视功能领域得分最高,为(31.83±17.75)分,其次是身体机能领域,为(23.15±7.08)分,精神心理和社会活动领域得分最低,分别为(19.10±10.35)、(18.09±9.67)分,其生存质量总平均得分为(92.16±34.50)分;所有患者的积极应对方式和消极应对方式得分分别为(34.72±9.63)、(28.31±9.12)分;患者生存质量的主要影响因素有年龄、文化程度、家庭人均月收入、医疗费用负担方式、病程、病情和特质应对方式(P<0.05)。结论糖尿病视网膜病变患者生存质量较差,尤其是精神心理和社会活动领域;病情和特质应对方式是患者生存质量的主要影响因素。更多还原

【Abstract】 Objective To explore the quality of life and its influencing factors among patients with diabetic retinopathy for effective intervention measures.Methods Using the quality of life(QOL)instrument for patients with visual lesion,Trait Coping Style Questionnaire(TCSQ),and a self-designed questionnaire,268 patients with diabetic retinopathy were surveyed.The generalized linear regression model was used to study the main factors influencing the QOL of the patients.Results The domain with the highest score in QOL was the symptoms and visual function(31.83±17.754),followed by body function domain(23.15±7.082),mental domain(19.10±10.345) and social activity domain(18.09±9.673).The affecting factors of quality of life were age,degree of education,family per capita monthly income,medical expenses,course of the disease,state of illness,and trait coping style(P<0.05 for all).Conclusion The quality of life among the patients with diabetic retinopathy is not ideal,especially the mental domain and the social activity domain.The main affecting factors are state of illness and the trait of coping style.更多还原