社区老年糖尿病患者生活质量的调查分析及护理干预

论文编号:HL110  论文字数:10173.页数:19

论文题目：社区老年糖尿病患者生活质量的调查分析及护理干预
摘 要

研究目的
 随着世界人口老龄化进程的加快,对老年人生活质量的研究正逐步成为世界关注的焦点。研究老年人的生活质量,首先要了解老年人生活质量的基本状况,并对其进行评价。老年人生活质量评价可揭示更深层次的健康问题,更灵敏地
反映其不断变化的情况,据此可准确地指导卫生服务。为临床护理人员及老年糖尿病患者家属及本人的护理干预提供指导，从而使老年糖尿病患者病情得到更好的控制及生活质量得到改善。
研究方法
采用目的抽样的方法，选择2010年9～2011年6月某社区2型糖尿病患者175例，平均年龄（58.99±11.92）岁，平均病程为（9.22±6.65）年。诊断均符合1999年WHO提出的糖尿病诊断标准。采用问卷调查的方法，面对面发放问卷。对于阅读困难者，笔者不加提示逐条阅读，让患者独立做出选择，逐一记录。
研究结果
结果显示女性患者在DSQL心理纬度分显著高于男性（P＜0.01），文化程度不同把患者分为三组，小学文化程度为Ⅰ组，共58例，初中高中及中专文化程度为Ⅱ组，共36例，大专本科及以上文化程度为Ⅲ组，共26例。应用方差分析结果显示三组不同年龄组别之间生理纬度分之间比较结果，有统计学意义。各文化程度组之间两两比较的结果，Ⅰ组和Ⅲ组在生理纬度的生活质量比较有显著差异（P＜0.05）。
研究结论
女性患者的生活质量比男性患者低，主要表现在心理纬度。这可能与女性的特点有关，文化程度高的患者要比文化程度低的患者生活质量高。
关 键 词：社区 ；糖尿病；SAS；SDS;生活质量
论文类型：调查报告 

Thesis topic: the community older adults with diabetes in the investigation and analysis of the quality of life and nursing intervention
Abstract
objective
As the world''''s population aging process, the acceleration of old people life quality research is gradually becoming the focus of world attention. The old people''''s quality of life, and the first to understand the basic condition of old people life quality, and the evaluation on. Old people life quality evaluation can reveal a deeper level of health problems, the more sensitive to
Reflect the changing situation, accordingly can accurately guidance and health services. For clinical nursing staff, and older adults with diabetes, families and I nursing provides guidance, so that older adults with diabetes illness get better control and the quality of life improved.
Research methods
The purpose of the sampling method, choose the 2010 9 ~ in June 2011, a community of 175 cases of patients with type 2 diabetes, with an average age of 58.99 + /-11.92 years, mean duration for (9.22 + /-6.65 years. Diagnosis which conform to the 1999 WHO proposed diabetes diagnosis standard. Using the method of questionnaire survey questionnaire, face to face. To read without difficulty, the author suggests headed reading, let patients independent make a choice, one by one to record.
The results
The results show that women in patients with DSQL psychological latitude points higher than male significantly (P < 0.01), cultural degree different divided the patients into three groups, primary education for Ⅰ group were 58 cases, junior high school, high school and technical secondary school culture for Ⅱ group, a total of degree of 36 cases, college degree or above level of culture, were Ⅲ group of 26 patients. Using the results of variance analysis showed three groups of different age group physiological latitude points between the comparison between a statistical significance. The cultural degree between group, the result of the comparison between two Ⅰ group and Ⅲ group physiological latitude in quality of life more significant difference (P < 0.05).
Research conclusion
The quality of life of patients with women than men with a low, main performance in psychological latitude. This may and women by the characteristics of the high degree of patients, culture than the low degree of cultural quality of life in patients with high.
Key words: community; shut Diabetes; SAS; SDS; The quality of life
Paper types: survey report
目 录
 1 前言  …………………………………………………………………………………8
   1.1 研究的背景 ……………………………………………………………………9
   1.2 研究的意义及目标………………………………………………………………11
   1.3 关键词及定义……………………………………………………………………11
   1.3.1 社区……………………………………………………………………………11
 1.3.2 糖尿病…………………………………………………………………………11
 1.3.3 SAS…………………………………………………………………………… 12
 1.3.4 SDS……………………………………………………………………………12
 1.3.5生活质量………………………………………………………………………13
   1.4文献回顾…………………………………………………………………………13
 1.4.1社区老年人生活质量的研究现状……………………………………………13
 1.4.2老年糖尿病人的生活及保健现状……………………………………………14
 1.4.3生活质量的影响因素…………………………………………………………14
 2 研究设计………………………………………………………………………………15
 2.1 研究设计…………………………………………………………………………15
 2.2 研究对象…………………………………………………………………………15
 2.3研究步骤…………………………………………………………………………16
 2.4研究工具…………………………………………………………………………17
 2.5资料分析…………………………………………………………………………17
 3  研究结果……………………………………………………………………………18
 3.1不同性别之间2型糖尿病患者DSQL的比较…………………………………18 
 3.2不同年龄之间2型糖尿病患者DSQL的比较…………………………………19
 3.3不同文化程度之间2型糖尿病患者DSQL的比较……………………………19
 3.4不同婚姻状况之间2型糖尿病患者DSQL的比较……………………………19
 4 讨论……………………………………………………………………………………20
 5  结论…………………………………………………………………………………22
 参考文献 ………………………………………………………………………………24