摘要
目的评价 2型糖尿病患者口服降糖药物 (OHA)治疗的依从性水平并探讨其影响因素。方法问卷调查 10 0 0例应用口服降糖药治疗的 2型糖尿病患者。结果 2型糖尿病患者口服降糖药物治疗依从性佳的比例为 37.8% ,影响因素的 L ogistic回归分析 :糖尿病教育 (OR=2 .0 7,95 % CI1.98～ 3.2 0 ) ,家人提醒服药 (OR=1.90 ,95 % CI1.5 9～ 3.17) ,定期复查 (OR=1.90 ,95 % CI1.39～ 3.0 8) ,家族史 (OR=1.88,95 % CI1.19～ 2 .98)是影响依从性的危险因素。依从性佳组血糖控制明显优于依从性差组。结论 2型糖尿病患者口服降糖药物治疗的依从性较差 ,应加强对患者的糖尿病教育 ,改善医患关系及增加社会支持 ,有助于提高治疗的依从性 ,从而有利于血糖的控制。
Objective To evaluate the compliance of type 2 diabetes (2DM) treated with oral hypoglycemic agents(OHA) and analyze its influence factors.Method 1 000 of 2DM cases treated with OHA were interviewed using the questionnaire of compliance.Results The ratio of good compliance in 2DM with OHA is 37.8%.The Logistic regression analysis showed that the risk factors were diabetic education(OR=2.07,95%CI 1.98～3.20),taking medicine reminded by family's numbers(OR=1.90,95%CI 1.59～3.17),visiting endocrinologist periodically(OR=1.90,95%CI 1.39～3.08),and diabetes family history(OR=1.88,95%CI 1.19～2.98).The HbA 1C level in good compliance group was better than that in poor compliance group.Conclusion The rate of good compliance in 2DM treated with OHA is much lower.Accepting diabetic education,setting up good relation between doctors and patients and getting good society supports are all significant measures to improve the compliance of treatment and the glycemic control.
出处
《中国慢性病预防与控制》
CAS
2003年第3期114-116,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
2型糖尿病
口服降糖药
依从性
糖尿病教育
Type2 diabetes
Oral hypoglycemic agents
Compliance
Diabetic education
