Study On The Effects Of The Diabetes Club On Improving The Quality Of Life For Patients With Diabetes And Its Affecting Factors

Objective:To evaluate the effects of the Diabetes Club on the quality of life for patients with diabetes, and explore the risk factors toward quality of life. Provide a basis for improving the Diabetes Club on the quality of life.Methods:1.114elderly patients and58elderly patients with diabetes were recruited to determine the intervention group and control group for club-based health education.2. Intervention group accepted questionnaire investigation and blood examination before and after the intervention of Diabetes Club. The questionnaire investigation were made by qualified well-training investigators on subjects face to face by using unified questionnaire, which contained general investigation and quality of life questionnaire on SF-36evaluation. The item of blood examination included fasting blood glucose (FBG), glycated hemoglobin (HbA1C), total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL), low density lipoprotein (LDL). When these investigation and examination were put into operation, control group underwent the same projects at the same time.Results:1. Before intervention, there have no significant difference on any index between intervention group and control group (P>0.05). After intervention, FBG, HbAlc, TC, TG and LDL-C showed significant decrease in intervention group (P<0.05). Meanwhile, HbA1c, TC and LDL-C in intervention group were lower than those of control group (P <0.05).2. Before intervention, there have no significant difference on eight physiological scores between intervention group and control group (P>0.05). After intervention, the intervention group has higher eight physiological scores than those of before intervention. In addition to the dimensional score of body pain, others all have statistical significance (P<0.05). After intervention, the control group’s two physiological scores, namely body function and overall health decrease significantly (P<0.05), and other six physiological scores did not show statistical change. After intervention, The eight physiological scores of intervention group were significantly higher than those of control group (P<0.05).3. Analysis of influencing factors on quality of life showed that there were many factors could affect quality of life. Age, literacy level, course of disease, complicating diseases, income and glycosylated hemoglobin were independently associated with all dimensions of SF-36.Conclusion:The intervention in community can effectively improve the quality of life of diabetics. Many factors affect the QOL in patients with T2DM, assessment and control these factors can improve the QOL in patients with T2DM.