宁波市社区糖尿病病人药物治疗依从性相关因素研究

Analysis on the Relevant Factors of Compliance in Community Diabetic Patients with Pharmic Therapy in Ningbo City

目的了解宁波市社区糖尿病病人药物治疗依从性现状及其相关因素.方法采用多阶段随机抽样的方法对宁波市7个社区35～74岁的居民进行调查,选择其中所有的糖尿病病人为本次研究的对象.结果糖尿病的患病率为4.45%,标化患病率为3.53%;非条件Logistic回归分析结果显示:糖尿病相关知识掌握情况较好的人群,药物治疗依从性佳;年龄65～74岁、血糖不良控制、家庭人均月收入小于260元的人群,药物治疗依从性差.结论宁波市城区35～74岁人群糖尿病患病率处于较高水平,应当引起高度重视;社区糖尿病病人药物治疗依从性与多种因素有关,应当加强对病人的健康教育,使其坚定长期药物治疗的信心,尤其要关注老年人及低收入人群.

Objective To know the status of compliance in conmmunity diabetic patients with phannic therapy and its relevant factors in Ningbo city. Methods A multistage and random sampling method was administrated among commtmity residents aged 35 to 74 in seven communities in Ningbo city.All the diabetic patients in the survey were selected as the study subjects. Results The prevalence of diabetes mellitus was 4.45% .The standardized rate was 3.53% .The Logistic Regression analyses indicated that patients with good understandings on knowledge about DM had good compliance. Patients with other 3 characteristics such as 65 - 74 years, imperfect blood glucose control, per capita average monthly family income 〈 260 yuan, had poor compliance. Conclusions The prevalence of diabetes mellitus of 35 - 74 years population in urban area of Ningbo city was comparatively high which need more attention paid. Compliance in community diabetic patients with phannic therapy was influenced by many factors. We should strengthen health edu- cation of the DM patient, especially groups such as elders or people with low income, and help them complying with the long term pharmic therapy.