中文摘要：

目的了解山区空巢老年2型糖尿病患者健康状况及影响因素,为社区干预提供依据.方法抽取浙江省丽水市15个街道/乡镇共30个行政村空巢老年糖尿病患者78例（空巢组）,根据年龄和性别按1∶2比例抽取非空巢老年糖尿病患者156例（非空巢组）,进行问卷调查、体格检查和实验室检测;分析空巢因素对老年糖尿病患者的生活方式、血生化指标和慢性病患病率等的影响.结果多因素Logistic分析显示,调整年龄因素后,空巢组肥胖率（OR=0.563,95%CI：0.371～0.809）、甘油三酯异常率（OR=0.501,95%CI：0.310～0.795）、吃鱼/肉类≥4d/周的比例（OR=0.579,95%CI：0.207～0.891）、血压知晓率（OR=0.598,95%CI：0.296～0.814）和血糖知晓率（OR=0.421,95%CI：0.302～0.799）相对较低（P〈0.05）;而空腹血糖异常率（OR=2.039,95%CI：1.013～3.572）、收缩压异常率（OR=1.832,95%CI：1.351～2.983）、缺乏锻炼率（OR=1.636,95%CI：1.432～3.356）、饮酒率（OR=3.572,95%CI：1.547～3.002） 和高盐饮食率（OR=2.984,95%CI：1.692～3.571）相对较高（P〈0.05）.结论空巢老年2型糖尿病患者血糖、血压控制情况相对较差,应积极给予个性化指导,改善空巢老年2型糖尿病患者的生活质量.

英文摘要：

Objective TolearnthehealthstatusofemptynesterswithdiabetesinthemountainssouthwestofZhejiangand toexploretheinfluencingfactors.Methods Usingthemethodofstratified-random-clustersampling,78emptynesters with diabetes and 1 56 non -empty nesters with diabetes who come from five streets and 1 0 towns of 30 community (or village)were selected and investigated by questionnaire and physical examination were conducted.Univariate analysis were conducted to compare the differences about lifestyle,biochemical indicators and health status between the two groups and multivariateunconditionallogisticregressionanalysiswereconductedtoanalyzetheinfluencingfactors.Results The prevalence of hypertension of empty nest group was 70.51%,and the prevalence of hypertension of non-empty nest group was 58.97%.Fasting blood glucose level of empty nest group was 9.39 ±5.73 mmol/L,higher than that of the non-empty nest group(P<0.05 ).There was significant difference between the two groups in other indicators,such as drinking rate,high -salt diet rate,obesity rate,triglyceride levels,regular exercise rate,vegetables/fruits ≥4 days/week proportion,fish/meat≥4 days/week,awareness of their own blood pressure and blood sugar awareness (P<0.05).After adjustment for age,the obesity rate,abnormal rate of triglycerides,fish/meat(≥4 days/week)intake,regular exercise rate,blood pressure and blood sugar awareness rate were lower among non-empty nesters with diabetes,and overweight rate,systolic blood pressure abnormal rate,fasting glucose ratio,alcohol and high salt diet were higher in empty nest group patientswithdiabetes.Conclusion Emptynesterswithdiabeteshavearelativelyhighproportionoflackofexercise, inadequate nutrition intake,alcohol consumption,high-salt diet and lack of health knowledge and other unhealthy factors. The community health services and individual guidance for the empty nesters should be strengthened to improve the health status of empty nesters with diabetes.