| Objective: This paper aimed at studying the important factors which is the impact of the quality of life of old ageⅡdiabetes ( Diabetes Mellitus, DM) patients, and the measures and methods of maintaining and improving the survival of elderly patients with typeⅡdiabetes quality, to provide a scientific basis for guiding the region community health services to targeted prevention measures, and to effectively improves the management of patients with DM and service quality, and to achieve improved quality of life in patients with DM .Methods: Daqing City in Heilongjiang Province, wind and waves of silver two regions of 162 elderly patients diagnosed type 2 diabetes mellitus patients were chosen. Survey methods were used , the patients filled out a SF-36 scale (the MOS 36 item short from heath survey, SF-36) and self-scale. The information obtained was established a database with Excel2003 software, software with SPSS13.0 general description of the evaluation of quality of life, the quality of life and physical health, social functioning, physical role function, bodily pain, mental health, emotional role function, energy and overall eight health scores as the dependent variable, age, education level, marital status, economic status, health care, disease duration, complications, smoking, drinking, social support, adherence, related knowledge, self-management, exercise and diet control as the independent variable, multiple linear stepwise regression analysis (entry criteria for theα= 0.10, remove the standardα= 0.11). To understand and grasp the general situation and the quality of life situation of type 2 diabetes mellitus patients, and to research and analysis the factors that affect the quality of life of patients.Results: Factors affecting quality of life of patients with type 2 diabetes mellitus in the area were associated with age, economic status, smoking, complications, and social support, compliance behavior and other related (P <0.05). In the eight SF-36 scale dimensions, the extent of the damage according to the order of overall health, energy, mental health, physical role function, bodily pain, social function, physical health and emotional role function (up into the role of emotions 83.13 function points, the lowest score overall health 51.20 points). Through each of the dimensions and effects of multiple factors, linear stepwise regression analysis showed that: the physical health of patients was positively correlated with subjective support (P <0.001), and complications and age was negatively correlated (P <0.05), ie received the support of family and friends more, the better physical health; complications, the more older, poorer physical health; patients with physical role function and social support was positively correlated with age, related knowledge, complications were negative correlation, and were statistically significant (P <0.05). That patients receive from family, more social support, physical health on work or daily life is smaller; older health knowledge to master the more complications, more physical health on work or daily life greater the impact; patients with somatic pain and complications, utilization of social support was negatively correlated with social support was a positive correlation was significant (P <0.05). That patients receive from the support of family and society more pain and their work or daily life smaller. More complications, family and social support on the use of more pain and greater impact on daily life; and the overall health of patients with complications, age was negatively correlated with subjective support was a positive correlation. That relatives, friends, colleagues and neighbors to support the patient's more, patients feel better on their own health; more complications, older patients feel worse for their own health; energy and complications of patients, age was negatively correlated with social support, economic status, exercise was positively correlated. That the more social support, the better the economic situation, regular exercise, the more abundant in patients with effort; older patients with more complications and worse the more easy to produce fatigue; social function and complications of patients, age was negatively correlated , was positively correlated with subjective support. That relatives, friends, colleagues for their support of more of the social activities of the smaller; more complications, the older, the greater impact of their social activities; emotional role function in patients with adherence, age and smoking were negatively correlated , was positively correlated with social support. That social support in patients with more emotion caused by the work and daily life of the impact of the smaller; older, poorer adherence, smoking more because of the work due to emotional and daily life greater. Dimension of the mental health of patients with complications was negatively correlated with social support and education level were positively correlated. That the greater social support, educational level, the more difficult negative emotions; complications, the more prone to depression, anxiety and other negative emotions; patients with physical health and social support was positively correlated with the number of complications , age, diet control were negatively correlated. That patients have more social support, more physical health; complications, the more older, poorer diet, poorer physical health. Patients with mental health and social support, complications, age has a linear correlation (P <0.05), and was positively correlated with social support, and complications, age, diet control were negatively correlated. That patients have more social support, better mental state, work and daily life of the smaller; complications, the more older, poorer mental state, work and daily life of the greater impact.Conclusion: SF-36 scale and made of silver scales on the wind and wave region of 162 cases of elderly patients with type 2 diabetes mellitus systematic assessment of quality of life, patients with a comprehensive understanding and knowledge of the physiological, psychological and other aspects of functional status, the real reflect the condition of patients. Conclusion: The survival of elderly patients with type 2 diabetes mellitus extent of the damage the quality of growth is increasing with age; and quality of life with complications was significantly lower than in patients without complications; moderate social concern and support will improve their lives mass, no interest or pay too much attention will bring negative effects, but reduce their quality of life. Therefore, community health service institutions in the management of diabetic patients with chronic diseases, should adopt appropriate measures for prevention and intervention. Regularly carry out health education, increase awareness of diabetes self-care; to strengthen self-management, delay and control the occurrence of complications; encouraged to participate in social activities, and more with family and friends to communicate and maintain a good attitude; right to comply with medical advice, positive with treatment, so as to improve the quality of life in patients with diabetes purposes, then the community chronic disease management play an active role.
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