深圳市糖尿病患者服药依从性及相关危险因素分析

Study on medication compliance level of patients with diabetes mellitus and logistic regression analysis of related factors

目的了解本地区糖尿病患者服药依从性及其影响因素,为进一步开展糖尿病预防控制工作提供依据。方法对就诊于本院门诊的547例糖尿病患者进行调查,对其基本情况、糖尿病患病情况以及服药依从情况进行调查,并进行单因素和多因素分析。结果从糖尿病服药依从性单因素分析发现,依从性与居住情况、并发症情况、文化程度、监测血糖次数、病程长短、糖尿病知晓率、服药种类等因素相关。Logistic多因素回归分析发现病程(OR=1.776,P=0.011),DM知识知晓率(OR=1.634,P=0.009)和治疗复杂程度(OR=3.867,P=0.013)是影响糖尿病患者用药依从性的独立相关因素。结论糖尿病患者用药依从性与多种因素相关,而加强糖尿病患者健康教育、简化治疗方案、加强社会支持、长期规律用药等有利于患者治疗用药依从性的提高。

Objective To learn the level of medication compliance of patients with diabetes and the influencing factors,and to provide evidences for diabetes intervention.Methods 547 cases of diabetic patients in the hospital were investigated.The basic situation,diabetes prevalence and drug compliance were investigated.Univariate and multivariate analy is were performed.Results The level of medication compliance of patients with diabetes was closely associated with the level of education,living conditions,complications,the number of blood glucose monitoring,course of disease,the awareness rates of DM,kinds of drug and therapeutic regiments.And after logistic regression analysis,we knew that the course of disease（OR=1.776,P=0.011）,the awareness rates of DM（OR=1.634,P=0.009）and therapeutic regiments（OR=3.867,P=0.013）were related to self-management.Conclusion The compliance depends on many factors,including health education,family support and the economic situation.