多重老年综合征对老年2型糖尿病患者生活质量的影响

Effects of multiple geriatric syndromes on quality of life in the elderly patients with type 2 diabetes mellitus

摘要:

目的 调查老年2型糖尿病患者多重老年综合征的发生情况，探究多重老年综合征对患者生活质量累积的影响。方法 2015年9月至2016年3月采用便利抽样法，对青岛大学附属医院内分泌科及老年科的397例住院老年2型糖尿病患者进行横断面调查。调查评估内容包括患者一般情况、生活质量以及慢性疼痛、慢性便秘、尿失禁、跌倒风险、营养不良、睡眠障碍、多重用药的发生情况。结果 患者生理健康得分为277.11±64.30，心理健康得分为307.00±60.45，平均罹患老年综合征数为3.23±1.51，44.3%的患者存在≥4个老年综合征。各老年综合征发生与否以及患有老年综合征的数量均对患者生理健康、心理健康产生影响（P<0.05）；且1个老年综合征组与≥2个老年综合征组相比，生理健康、心理健康差异均有统计学意义（P<0.05）。结论 住院老年2型糖尿病患者老年综合征发生率高，甚至许多患者同时存在多种老年综合征，患有多重老年综合征的患者生活质量下降显著。

Abstract:

Objective To investigate the prevalence of multiple geriatric syndromes in the elderly inpatients with type 2 diabetes mellitus, and determine the accumulated effects of multiple geriatric syndromes on their quality of life. Methods A cross-sectional study was carried out in 397 elderly patients with type 2 diabetes mellitus from geriatric and endocrinology departments of the affiliated hospital subjected by convenience sampling method in September 2015 to March 2016. Each subject was surveyed for general condition, quality of life as well as chronic pain, chronic constipation, urinary incontinence, risk of falling, malnutrition, sleep disorder, and polypharmacy. Results The average score of physical component summary was 277.1±64.30, and that of mental component summary was 307.00±60.45 in the patients. They averagely had 3.23±1.51 geriatric syndromes, and 44.3% of them had 4 or more. Having the syndromes or not and the number of these syndromes had effects on the physical and mental health in the elderly (P<0.05). Significant differences were seen in the scores of physical and mental component summary between the subjects with only 1 or those with 2 or more geriatric syndromes (P<0.05). Conclusion The incidence of geriatric syndromes is quite high in the hospitalized elderly patients with type 2 diabetes mellitus. Many patients have a number of syndromes at the same time, and have significant poor quality life.