115例农村糖尿病患者治疗依从性分析及对策

目的了解农村糖尿病患者对治疗的依从性,并对提高依从性提出对策。方法山东省平度市万家镇卫生院所在农村社区对糖尿病患者进行面对面调查,收集患者的疾病状态、治疗认知、疾病控制情况、医嘱与依从情况以及不能遵医的原因。结果共纳入115例农村糖尿病患者,对口服降糖药、胰岛素注射、饮食控制、适量运动、戒烟、戒酒、监测血糖完全依从的患者分别有45例(58.4%)、26例(68.4%)、97例(84.3%)、57例(49.6%)、30例(54.5%)、26例(41.9%)、15例(13.0%)。制约依从性的主要原因为对自身疾病认识不足(36,31.3%)、对医嘱不理解(22,19.1%)、认为治疗方式繁琐(18,15.7%)等。结论农村糖尿病患者依从性不高,亟待建立与农村情况相适应的糖尿病管理体系。

Objective To investigate the treatment compliance of diabetes patients in rural areas and come up with strategies to improve that. Methods A face to face survey of diabetes patients was implantmented in the rural community to collect the disease status, understanding of therapy, disease control, the doctor＆#39;s orders and compliance as well as the reason of non-compliance.Results A total of 115 patients in rural area were collected. The total compliance rate of oral hypoglycemic agents, insulin injections, diet, regular exercise, smoking, alcohol, blood glucose monitoring were 58.4% （n=45）, 68.4% （n=26）, 84.3% （n=97）, 49.6% （n=57）, 54.5% （n=30）, 41.9% （n=26）, 13.0% （n=15）, respectively. The main reasons for non-compliance included lacking knowledge of diabetes （n=36, 31.3%）, non-understanding doctor＆#39;s orders （n=22, 19.1%） and complexity of treatment （n=18, 15.7%）.Conclusion The diabetes patients in rural area compliance is relatively low, and the diabetes management system appropriate to the situation in rural areas is urgent needed to establish.