糖尿病患者网络续药需求意愿及影响因素分析

Demand and influence factors of web-based prescription refill among diabetes out-patients

目的了解糖尿病患者网络续药的需求意愿及其影响因素,为糖尿病的防治提供参考依据。方法2014年11—12月,采用随机抽样方法对在天津医科大学代谢病医院糖尿病门诊抽取的304例糖尿病单纯取药患者进行问卷调查。结果 304例糖尿病患者中,有70.4%的患者一个月至少得到医院取药2次,有78.0%的患者1个处方≥6个月未作调整,有86.2%的患者取药首选三级医院或专科医院,有53.9%的患者对目前取药流程较不满意,有80.6%的患者对每次所开药物的使用方法完全清楚,有63.8%的患者对治疗指南推荐的检查间隔时间很不清楚或不太清楚,有44.4%的患者续药需有人陪伴或代拿,有74.7%的糖尿病患者自己或请他人帮忙操作电脑网络非常方便,有70.4%的糖尿病患者认为网络续药风险较小,糖尿病患者对开展网络续药的需求率为91.1%;多因素非条件logistic回归分析结果显示,对推荐检查间隔时间越不清楚、自己或请他人帮忙操作电脑上网越方便、认为网络续药风险越小的糖尿病患者对开展网络续药的需求越大。结论糖尿病患者对网络续药的需求意愿较大,对推荐检查间隔时间的清楚度、自己或请他人帮忙操作电脑上网的方便程度和认为网络续药风险大小是糖尿病患者对开展网络续药意愿的主要影响因素。

Objective To examine the demand and influence factors of web-based prescription refill（ PR） among diabetes patients and to provide a reference for the control and treatment of diabetes. Methods With random sampling we carried out a face-to-face questionnaire survey among 304 diabetes out-patients visiting Tianjin Medical University Metabolic Disease Hospital just for PR from November through December 2014. Results Of all the patients,70. 4% visited a hospital for PR at least 2 times a month and 78. 0% got their prescriptions for diabetes unchanged for 6 months or more;86. 2% visited a third-level or specialized hospital for their PR; 53. 9% were not satisfied to the process for getting the medication and 80. 6% were without clear understanding on the instruction of the medicine prescribed each time; 63. 8%did not knowat all or exactly the inspection interval recommended by the guidelines of China Association of Diabetes Prevention and Treatment; 44. 4% had to be accompanied by others when visiting a hospital or to entrust others for the PR; 74. 7% considered that it is convenient for them to conduct a web-based PR by themselves or under the help of others; and 70. 4% believed that web-based PR is generally safe. There were 91. 1% of respondents reported the demand for web-based PR. The results of multivariate unconditioned logistic regression analysis indicated that the web-based PR was eagerly demanded by the out-patients not knowing the inspection interval exactly,surfing the internet conveniently by themselves or under the help of others,and considering the web-based PR as a safe procedure. Conclusion Diabetes outpatients have a great demand for web-based PR and the demand is influenced by the patients＇ awareness of exact inspection interval,ability of surfing the internet,and the perception for the safety of web-based PR.