肺结核合并糖代谢紊乱患者生存质量现状及影响因素

Quality of Life Status and Influencing Factors of Patients with Tuberculosis and Glucose Metabolism Disorders

摘要:

目的 探讨肺结核合并糖代谢紊乱患者生存质量现状及影响因素。方法 选择2017年3月至2020年4月由我院收治的肺结核合并糖代谢紊乱患者117例（合并组）及单纯结核病患者121例（单纯组），采用健康调查简表调查患者生存质量现状及收集患者一般资料分析其并发糖代谢紊乱的危险因素。结果 合并组生存质量评分均低于单纯组（P＜0.05）。肺结核合并糖代谢紊乱男性患者、18-44岁患者、≥4500月收入患者、血糖控良好患者、饮食控制情况良好者、经常日常锻炼生存质量得分高于女性患者、45-59岁、≥60岁患者、其余月收入阶段者、血糖控制较差者、饮食控制较差者、很少锻炼者（P＜0.05）；性别、月收入、年龄、血糖控制是影响肺结核合并糖代谢紊乱患者生存质量的危险因素（P＜0.05）。结论 肺结核合并糖代谢紊乱患者生存质量现状较差，尤其是女性、月收入低于4500元的60岁以上控制血糖较差人群临床上应特别注意其生存质量，政府应加强此类人群的健康知识宣传力度，以预防上述人群生存质量的持续降低。

Abstract:

Objective To investigate the current status and influencing factors of quality of life in patients with pulmonary tuberculosis complicating glucose metabolism disorders. Methods A total of 117 patients with pulmonary tuberculosis complicating glucose metabolism disorders (combined group) and 121 patients with pulmonary tuberculosis (single group) in our hospital from March 2017 to April 2020 were enrolled. The quality of life of patients was investigated using health survey questionnaire, then the general data of patients were collected and the risk factors of glucose metabolism disorder were analyzed. Results The score of quality of life of patients with pulmonary tuberculosis complicating glucose metabolism disorder was significantly lower than that of patients with pulmonary tuberculosis (P<0.05). Among patients with pulmonary tuberculosis complicating glucose metabolism disorder, the scores of quality of life among patients of male, age 18-44 years old, monthly income ≥ 4500, good glycemic control, good diet control, and regular daily exercise were higher than those of female patients, age 45-59 years old, age ≥ 60 years old, low monthly income, poor glycemic control, poor diet control and seldom exercise (P<0.05); Gender, monthly income, age and blood glucose control were risk factors for quality of life in patients with pulmonary tuberculosis complicating glucose metabolism disorder (P<0.05). Conclusion The quality of life of patients with pulmonary tuberculosis complicating glucose metabolism disorder is at low level, especially among people of the female, age over 60 years old, a monthly income less than 4500 yuan and poor blood glucose control, so the related health public education is of vital importance in the prevention of worsened quality of life.