| 杨 佳,任 玲,葛正懿,闫文雪,赵 伟.糖尿病足截肢患者生活质量现状调查及与疼痛评分、应对方式和焦虑抑郁的相关性分析[J].,2021,(7):1305-1309 |
| 糖尿病足截肢患者生活质量现状调查及与疼痛评分、应对方式和焦虑抑郁的相关性分析 |
| Investigation of Quality of Life in Patients with Diabetic Foot Amputation and Its Correlation with Pain Score, Coping Style, Anxiety and Depression |
| 投稿时间：2020-09-24 修订日期：2020-10-18 |
| DOI：10.13241/j.cnki.pmb.2021.07.023 |
| 中文关键词: 糖尿病足 截肢 生活质量 疼痛评分 应对方式 焦虑抑郁 |
| 英文关键词: Diabetic foot Amputation Quality of life Pain score Coping style Anxiety and depression |
| 基金项目:国家自然科学基金项目（81760813） |
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| 中文摘要: |
| 摘要 目的：探讨糖尿病足截肢患者生活质量现状及与疼痛评分、应对方式和焦虑抑郁的相关性。方法：选取2018年3月~2020年6月期间我院收治的未接受截肢手术的50例糖尿病足患者为未截肢组，选取同期行截肢手术的50例糖尿病足患者为截肢组。采用糖尿病特异性生活质量量表（DSQL）评估所有患者的生活质量，采用Zung焦虑自评量表（SAS）、Zung抑郁自评量表（SDS）评价所有患者焦虑抑郁状况，采用医学应对方式问卷（MCMQ）评分评价所有患者的医学应对情况，采用视觉疼痛模拟评分法（VAS）评价所有患者的疼痛状况。Pearson相关性分析DSQL评分与疼痛评分、应对方式和焦虑抑郁相关评分的相关性。比较不同临床病理特征截肢组患者生活质量评分。采用多元线性回归分析糖尿病足截肢患者生活质量的影响因素。结果：截肢组患者DSQL评分、VAS评分、SAS评分、SDS评分均高于未截肢组，而MCMQ评分低于未截肢组（P<0.05）。Pearson相关性分析结果显示，DSQL评分与VAS评分、SAS评分、SDS评分呈正相关，而与MCMQ评分呈负相关（P<0.05）。不同年龄、体质量指数、文化程度、糖尿病病程、个人月收入、糖化血红蛋白（HbA1c）的截肢糖尿病足患者生活质量评分差异有统计学意义（P<0.05）。多元线性回归分析结果显示，年龄、文化程度、个人月收入、HbA1c是截肢糖尿病足患者生活质量的影响因素（P<0.05）。结论：糖尿病足截肢患者生活质量较差，年龄、文化程度、个人月收入及HbA1c均会影响其生活质量，且其生活质量与疼痛、应对方式和焦虑抑郁存在相关性，临床上应加强对此类患者的干预，以提高其生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the quality of life and its correlation with pain score, coping style, anxiety and depression in patients with diabetic foot amputation. Methods: 50 cases of diabetic foot patients without amputation in our hospital from March 2018 to June 2020 were selected as the non amputation group, and 50 cases of diabetic foot patients undergoing amputation in the same period were selected as the amputation group. Diabetes specific quality of life scale (DSQL) was used to evaluate the quality of life of all patients. Zung self rating Anxiety Scale (SAS) and Zung self rating Depression Scale (SDS) were used to evaluate anxiety and depression of all patients. Medical Coping Style Questionnaire (MCMQ) score was used to evaluate the medical response of all patients. Visual analogue scale (VAS) was used to evaluate the quality of life of all patients Pain status. Pearson correlation analysis was used to analyze the correlation between DSQL score and pain score, coping style, anxiety and depression related score. The quality of life scores of amputation group were compared with different clinicopathological characteristics. Multiple linear regression was used to analyze the influencing factors of quality of life in patients with diabetic foot amputation. Results: DSQL score, VAS score, SAS score and SDS score of amputation group were higher than those of non amputation group, while MCMQ score was lower than that of non amputation group (P<0.05). Pearson correlation analysis showed that DSQL score was positively correlated with VAS score, SAS score and SDS score, but negatively correlated with MCMQ score (P<0.05). There were significant differences in quality of life scores of amputated diabetic foot patients with different age, body mass index, education level, course of diabetes, personal monthly income and HbA1c (P<0.05). Multiple linear regression analysis showed that age, education level, personal monthly income and HbA1c were the influencing factors of life quality of amputated diabetic foot patients（P<0.05）. Conclusion: The quality of life of patients with amputation of diabetic foot is poor. Age, education level, personal monthly income and HbA1c can affect their quality of life, and their quality of life is correlated with pain, coping style, anxiety and depression. Therefore, it is necessary to strengthen the intervention of such patients in order to improve their quality of life. |
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