实用老年医学

实用老年医学 ›› 2025, Vol. 39 ›› Issue (6): 606-610.doi: 10.3969/j.issn.1003-9198.2025.06.015

• 临床研究 • 上一篇    下一篇

南京地区老年糖尿病病人新冠疫情期间及之后健康相关生活质量的比较分析

杨斌, 叶青, 邓天瑞, 徐韵婷, 许慧清, 敖国凤, 唐伟, 徐斐   

  1. 210015 江苏省南京市,南京市鼓楼区疾病预防控制中心疾控科(杨斌);210003 江苏省南京市,南京医科大学附属南京疾病预防控制中心公共卫生办公室(叶青,邓天瑞,徐韵婷,许慧清,敖国凤,徐斐);210024 江苏省南京市,南京医科大学附属老年医院内分泌科(唐伟)
  • 收稿日期:2024-10-08 出版日期:2025-06-20 发布日期:2025-07-07
  • 通讯作者: 徐斐,Email: frankxufei@163.com

Analysis of health-related quality of life in elderly people with diabetes during and after COVID-19 pandemic in Nanjing

YANG Bin, YE Qing, DENG Tianrui, XU Yunting, XU Huiqing, AO Guofeng, TANG Wei, XU Fei   

  1. Department of Disease Control, Gulou District Center for Disease Control and Prevention, Nanjing 210015, China(YANG Bin); Office of Public Health, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China (YE Qing, DENG Tianrui, XU Yunting, XU Huiqing, AO Guofeng, XU Fei); Department of Endocrinology, Geriatric Hospital of Nanjing Medical University, Nanjing 210024, China (TANG Wei)
  • Received:2024-10-08 Online:2025-06-20 Published:2025-07-07
  • Contact: XU Fei, Email: frankxufei@163.com

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摘要： 目的 了解南京地区老年糖尿病病人新型冠状病毒感染(新冠)疫情期间及之后健康相关生活质量。 方法 于2021年(新冠疫情期间)和2023年(新冠疫情之后)采用多阶段整群随机抽样的方法分别选择南京地区4个行政区中≥60岁的老年人进行调查,使用简版生活质量评定量表(SF-12)评估调查对象的健康相关生活质量。使用多因素方差分析比较疫情期间与疫情之后糖尿病病人与血糖正常者生活质量的差异。 结果 在19 031名老年调查对象中,糖尿病罹患率为17.2%(3 282/19 031),其中2021年为17.7%(1 692/9 542),2023年为16.8%(1 590/9 489)。疫情期间所有对象的SF-12生理评分显著低于疫情之后,差异有统计学意义[(51.74±7.71)分比(52.55±7.22)分,P<0.01]。疫情期间与疫情之后,糖尿病病人的SF-12生理评分均显著低于血糖正常者,二者的SF-12 心理评分差异均无统计学意义(P>0.05)。疫情之后血糖正常者生理评分均较疫情期间显著上升(均P＜0.01),血糖正常者和糖尿病病人心理评分疫情后较疫情期间均无变化(P>0.05)。 结论 南京地区糖尿病病人的生活质量的生理评分低于血糖正常者,血糖正常者新冠疫情之后健康相关生活质量明显上升。

关键词: 健康相关生活质量, 糖尿病, 老年人, 简版生活质量评定量表

Abstract: Objective To investigate the health-related quality of life (HRQoL) in the elderly with diabetes during and after COVID-19 pandemic in Nanjing, China. Methods In 2021 (during COVID-19 pandemic) and 2023 (after COVID-19 pandemic), independent cross-sectional surveys were conducted in the elderly people in 4 districts in Nanjing, China. Short-Form 12 Health Survey (SF-12) was used to assess physical component summary (PCS) and mental component summary (MCS) of HRQoL. Multi-factor analysis of variance approach was applied to analyze the differences in PCS and MCS between the participants with diabetes and without diabetes, during COVID-19 pandemic and after COVID-19 pandemic. Results Among the total 19 031 participants, 17.7%(1 692/9 542) presented with diabetes in 2021, compared with 16.8% (1 590/9 489) in 2023. The PCS score during COVID-19 pandemic was significantly lower than that after the pandemic (51.74±7.71 vs 52.55±7.22), while MCS showed no significant difference(P>0.05).In people with normal blood glucose, PCS score was significantly higher after COVID-19 pandemic than that during the COVID-19 pandemic, MCS showed no significant differences whether in people with normal blood glucose or abnormal. Conclusions The PCS score in diabetic patients is lower than that in people with normal blood sugar whose HRQoL after COVID-19 pandemic increased significantly.

Key words: health-related quality of life, diabetes, aged, Short-Form 12 Health Survey

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