2型糖尿病患者血糖监测对药物治疗依从性的影响

Blood sugar monitoring to drug therapy compliance in patient with type 2 diabetes mellitus

目的观察分析2型糖尿病患者血糖监测对药物治疗依从性的影响。方法采用问卷调查法对171例2型糖尿病患者对药物治疗依从性和血糖监测情况进行单因素分析和Logistic回归分析。结果171例2型糖尿病患者对药物治疗依从性佳的病例共63例,占36.84%。通过依从性与相关单因素分析,显示出糖尿病教育、血糖定期测量、提醒服药等3项因素可以提高依从性,P<0.01。年龄、文化程度、并发症、定期复查、家中有血糖仪等5项因素亦可以提高依从性,P<0.05。经Logistic回归分析,依照标准系数绝对值大小,服药依从性取决于:糖尿病教育、提醒服药、定期复查、并发症、血糖定期测量。每周测量多次者,依从性佳的占67.86%,每周测量1次者,依从性佳的占41.30%,每月测量1次,依从性佳的为30.00%,不舒服时测量者,依从性佳的仅为21.28%。依从性与测量次数呈正相关。结论除了糖尿病教育、提醒服药、定期复查、并发症等因素影响药物治疗依从性外,血糖监测也是1个影响药物治疗依从性不可忽视的因素。

Abstract： [Objective] To observe the effect of blood sugar monitoring to drug therapy comphance in patient with type 2 diabetes mellitus. [Method] Using questionnaire, single-way and logistic regression analysis to analyze the relation between 171 type 2 diabetics＇ drug therapy compliance and the information of blood sugar monitoring. [Result] Single-way analysis for compliance showed health education, blood sugar monitoring, reminding taking medicine as well as age, education experience, complication, and return visit, provide blood sugar monitoring instrument for himself could increase drug therapy compliance （P 〈0.05）. According to logistic regression analysis, drug therapy compliance was determined by health education, reminding taking medicine, return visit, complication and blood sugar monitoring, the importance decreased one by one. [Conclusion] Beside health education, reminding taking medicine, return visit, complication, blood sugar monitoring can not be ignored to improve the patients＇ drug therapy compliance.