目的：分析糖尿病视网膜病变(diabetic retinopathy，DR)患者的生活质量(quality of life，QOL)及其影响因素。

方法：分别采用一般情况问卷、视功能损害眼病患者生活质量量表(scale of quality of life in patients with visual impairment，SQQL-VI)和社会支持评定量表对103例DR患者进行问卷调查。采用向后逐步多重线性回归分析法分析年龄、性别、文化程度及社会支持度等因素对DR患者生活质量的影响。

结果：DR患者的SQQL-VI量表中总生活质量评分为 63.59±9.58分，症状与视功能评分为53.13±8.51分，身体机能评分为28.39±3.86分，社会活动评分为27.95±3.63分，精神心理方面评分为27.78±3.85分。单因素分析结果显示，不同年龄、文化程度、职业、家庭月收入、医疗费用负担方式、糖尿病病程和社会支持度DR患者的生活质量评分的差异有统计学意义(P<0.05)。多重线性回归分析显示，年龄、文化程度、医疗费用负担方式、糖尿病病程及社会支持度是DR患者生活质量的独立影响因素。

结论：DR患者的生活质量较差，年龄、文化程度、医疗费用负担方式、糖尿病病程及社会支持是其主要影响因素，可通过减少经济负担、增加社会支持改善DR患者的生活质量。

METHODS: A total of 103 diagnosed case of diabetic retinopathy from January 2017 to August 2017 in Daping Hospital of Chongqing were enrolled in this study. The questionnaire survey was conducted using Scale of Quality of Life in Patients with Visual Impairment(SQQL-VI)and social support revalued scale. The factors influencing their quality of life were also analyzed. The data were analyzed by SPSS 25.0 software. Proportions were compared by using the chi-square test and the means were compared by using the t-test. The factors of DR such as age, gender, education and social support were analyzed using stepwise multiple linear regression.

RESULTS: The scores in the patients with diabetic retinopathy included total quality of life 63.59±9.58, symptoms and visual function 53.13±8.51, body function 28.39±3.86, social activities 27.95±3.63, psychological aspects 27.78±3.85. The single factor analysis showed that there were significant differences in age, education level occupation, monthly income, the style of medical cost, course of disease, and social support(P<0.05). Multivariate linear regression indicated that age, education level, the style of medical cost, course of disease, and social support were statistically significantly associated with the quality of life(P<0.05).

CONCLUSION: To improve the quality of life of DR patients, it is essential to reduce the financial burden and increase the social support.