بررسي كيفيت زندگي بيماران مبتلا به پرفشاري خون و ديابت نوع دو

Quality of life in patients with hypertension and type 2 diabetes mellitus

بررسي كيفيت زندگي بيماران مبتلا به عوارض مزمن ديابت و فشار خون، به برنامه ريزي در جهت اتخاذ تدابير لازم به منظور پيشگيري و يا كنترل عوارض و ارتقاي سطح كيفيت زندگي بيماران كمك مي نمايد. هدف اين مطالعه، بررسي كيفيت زندگي بيماران مبتلا به پرفشاري خون و ديابت نوع دو بود. مواد و روش ها اين مطالعه توصيفي- مقطعي، بر روي 150 آزمودني مشتمل ير 100 بيمار (50 نفر ديابت نوع دو و 50 نفر پرفشاري خون) و 50 نفر از افراد به ظاهر سالم از همراهان بيماران (عدم ابتلاء به ديابت، پرفشاري خون و ساير بيماري هاي مزمن طبق نظر متخصص باليني) كه طي شش ماهه اول سال 95 به درمانگاه داخلي بيمارستان كوثر مراجعه نموده بودند، انجام شد. ابزار گردآوري داده ها سياهه خصوصيات فردي و بيماري و پرسش نامه ي كيفيت زندگي (SF36) بود. يافته ها ﺳﻪ ﮔﺮوه از ﻧﻈﺮ ﺳﻦ، ﺗﺎﻫﻞ ، ﺗﺤ ﺼﯿﻼت ، و ﻣﺤﻞ ﺳﮑﻮﻧﺖ ، ﺗﻔﺎوت ﻣﻌﻨﯽداري ﻧﺪا ﺷﺘﻨﺪ. ﮔﺮوه ﻫﺎ از ﻧﻈﺮ ﻧﻤﺮه ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ ﮐﻠﯽ )0/013=P( و در اﺑﻌﺎد ﺟﺴﻤﯽ )0/001=P( و اﺑﻌﺎد روانﺷﻨﺎﺧﺘﯽ )0/013=P( ﺑﺎ ﻫﻢ ﺗﻔﺎوت ﻣﻌﻨﯽداري داﺷﺘﻨﺪ، ﺑﻪ ﻃﻮري ﮐﻪ ﻧﻤﺮه ﮐﯿﻔﯿ ﺖ زﻧﺪﮔﯽ ﮐﻠﯽ ﺑﯿﻤﺎران دﯾ ﺎﺑﺘﯽ از ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﭘﺮ ﻓﺸــﺎري ﺧﻮن ﮐﻢﺗﺮ ﺑﻮده اﺳــﺖ )0/009=P(. ﻫﻢﭼﻨﯿﻦ ﻧﻤﺮه ﮐﯿﻔﯿ ﺖ زﻧﺪﮔ ﯽ ﺑﯿﻤﺎران دﯾ ﺎﺑﺖ ﻧﻮع دو در زﯾﺮ ﻣﻘﯿ ﺎسﻫﺎ ي ﻋﻼﺋﻢ ﺟﺴــﻤﯽ و روانﺷــﻨﺎﺧﺘ ﯽ از ﺑﯿﻤﺎران ﭘﺮ ﻓﺸــﺎري ﺧﻮن ﮐﻢﺗﺮ ﺑﻮده اﺳــﺖ )0/001

Assessing the quality of life of patients with chronic complications of diabetes and blood pressure leads to planning and measures to prevent or control complications and improve the quality of life of patients. The aim of this study was to evaluate the quality of life of patients with hypertension and diabetes types Materials and Methods This descriptive cross-sectional study was performed on 150 subjects of 100 patients (50 type 2 diabetes and 50 hypertension) and 50 healthy individuals from attending patients (lack of diabetes, hypertension and other chronic diseases according to a clinical expert) who had been referred to the clinic at Kosar Hospital (Semnan, Iran) during the first six months of 2017. The data collection tool was a personal characteristics and disease list and a quality of life questionnaire (SF-36). Results There were no significant differences in age group, marital status, education and place of residence. The groups were significantly different in terms of overall quality of life score (p=0.013) and in physical dimensions (p=0.001) and psychological symptoms (p=0.013). So that the overall quality of life score of diabetic patients was less likely to have hypertensive patients (p=0.009). Remarkably, the quality of life of patients with type 2 diabetes was lower in the subscales of physical and psychological symptoms in patients with high blood pressure (P<0.001). Conclusion Findings showed that the quality of life score of patients with diabetes was lower than the patients with hypertension, especially in physical and psychological symptoms. Therefore, planning to improve the quality of life of patients with diabetes is necessary.