摘要
目的:探讨2型糖尿病患者药物治疗依从性的相关影响因素,并分析解决对策。方法:选取2021年1月—2022年1月北京市西城区展览路社区卫生服务中心120例2型糖尿病患者的临床资料进行回顾性分析,依照患者药物治疗依从性分为依从性好组(70例)和依从性差组(50例)。对两组患者的药物治疗依从性及影响因素开展问卷调查,通过单因素分析及多因素Logistic回归法评价2型糖尿病患者药物治疗依从性的影响因素。结果:依从性差组年龄≥60岁、不良心理表现、缺乏疾病知识、工作繁忙、药物不良反应及降糖药物种类多占比高于依从性好组,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,年龄≥60岁、不良心理表现、缺乏疾病知识、工作繁忙、药物不良反应及降糖药物种类多是影响2型糖尿病患者药物治疗依从性的主要因素。结论:2型糖尿病患者接受药物治疗的依从性普遍较差,需要针对危险因素开展有效的干预对策,加强健康宣教及心理干预力度,为患者提供用药指导,进一步提升患者药物治疗依从性。
Objective:To explore the influencing factors of medication adherence in patients with type 2 diabetes mellitus and analyze the countermeasures to solve the problem.Methods:The clinical data of one hundred and twenty patients with type 2 diabetes mellitus in Beijing Xicheng District Zhanlanlu Community Health Service Center from January 2021 to January 2022 were selected for retrospective analysis.The patients were divided into a good adherence group(seventy cases)and a poor adherence group(fifty cases)according to their adherence to drug treatment.A questionnaire survey was conducted to investigate the adherence to medication and the influencing factors of the two groups,and the influencing factors of adherence to medication in type 2 diabetes mellitus patients were evaluated by univariate analysis and multifactorial logistic regression.Results:The age≥60 years old,poor psychological performance,lack of knowledge of the disease,busy work,adverse drug reactions and more types of hypoglycemic drugs accounted for a higher percentage in the poor adherence group than in the good adherence group,and the difference was statistically significant(P<0.05);The results of multifactorial logistic regression analysis showed that age≥60 years,poor psychological performance,lack of knowledge of the disease,busy work,adverse drug reactions and more types of hypoglycemic drugs were the main factors affecting adherence to medication in patients with type 2 diabetes mellitus.Conclusion:The adherence of type 2 diabetes mellitus patients to medication is generally poor,and it is necessary to carry out effective interventions to address the risk factors,strengthen health education and psychological interventions,and provide patients with medication guidance to further improve the adherence of patients to medication.
作者
顾泠萱
Gu Lingxuan(Beijing Xicheng District Zhanlanlu Community Health Service Center,Beijing 100034,China)
出处
《中外医药研究》
2023年第15期69-71,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
2型糖尿病
药物治疗依从性
影响因素
Type 2 diabetes mellitus
Medication adherence
Influencing factors
