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背景:约1/4糖尿病患者有糖尿病性视网膜病变,由于视力严重下降,患者的生活质量受到极大的影响,社会支持对患者的康复有重要的作用。目的:分析糖尿病性视网膜病变患者社会支持和生活质量的关系,以指导临床实践,提高患者的生活质量。设计:以糖尿病性视网膜病变患者为研究对象的横断面调查研究。单位:南京军区总医院眼科病房。对象:选择2002-01/2003-05在南京军区总医院眼科病房住院的糖尿病性视网膜病变患者共81例。纳入标准:患糖尿病性视网膜病变且自愿参加本研究者;排除标准:患其他并发症(高血压、肾病等)者。根据视力分为两组:双眼视力0.06～0.1组28例,视力≤0.05组53例。方法:对两组患者进行调查分析,从客观支持、主观支持和利用度3个维度评价糖尿病性视网膜病变患者不同视力程度的社会支持水平;通过改良后生活质量指数(MQLI)评估糖尿病性视网膜病变患者的生活质量,包括5个维度:躯体健康、心理健康、社会功能、自我形象和物质基础。主要观察指标:糖尿病性视网膜病变患者的社会支持和生活质量的总均分、躯体健康因子分、心理健康因子分、社会功能方面因子分和物质基础因子分及其之间的相关性。结果:视力在0.06～0.1组的社会支持总分、客观支持因子、主观支持因子、利用度因子均高于视力≤0.05组(P<0.01
Background: About 1/4 of patients with diabetic retinopathy have diabetic retinopathy. The quality of life of patients is severely affected by the serious deterioration of vision. Social support plays an important role in the rehabilitation of patients. Objective: To analyze the relationship between social support and quality of life in patients with diabetic retinopathy to guide clinical practice and improve the quality of life of patients. Design: A cross-sectional study of patients with diabetic retinopathy. Unit: Nanjing Military Region General Hospital Eye Ward. PARTICIPANTS: A total of 81 patients with diabetic retinopathy hospitalized in Nanjing Military Region General Hospital ophthalmic ward from January 2002 to May 2003 were selected. Inclusion criteria: diabetic retinopathy and voluntarily participated in the study; exclusion criteria: those with other complications (hypertension, nephropathy, etc.). According to visual acuity divided into two groups: binocular visual acuity of 0.06 to 0.1 in 28 cases, visual acuity ≤ 0.05 group of 53 cases. Methods: The two groups of patients were investigated and analyzed. Social support for patients with diabetic retinopathy at different visual acuity levels was evaluated from the three dimensions of objective support, subjective support, and utilization. Patients with diabetic retinopathy were assessed by modified quality of life index (MQLI) Quality of life of patients, including five dimensions: physical health, mental health, social function, self-image and material basis. MAIN OUTCOME MEASURES: Social support and quality of life of the patients with diabetic retinopathy, the total score, physical health factor scores, mental health factor scores, social function factor scores and physical basis factor scores and their correlation. Results: The total score of social support, objective support factor, subjective support factor and utilization factor of visual acuity in 0.06 ~ 0.1 group were higher than that of visual acuity≤0.05 group (P <0.01