影响糖尿病患者药物治疗依从性相关因素临床分析

Clinical Analysis of Factors Related to Compliance with Drug Therapy in Patients with Diabetes Mellitus

目的探讨影响糖尿病患者药物治疗依从性的相关因素。方法回顾性分析我院于2016年8月~2017年7月所收治的2型糖尿病患者168例,根据药物治疗依从性的好与差分为两组,比较两组患者在性别、年龄、病程、疾病认知水平、服药种类、服药次数及月收入等方面的差异,并分析影响患者药物治疗依从性的相关因素。结果 168例患者当中50例药物治疗依从性好,118例药物治疗依从性差;药物治疗依从性差患者的年龄、服药种类、服药次数高于药物治疗依从性好的患者,而疾病认知水平及月收入则低于药物治疗依从性好的患者,组间比较差异具有统计学意义(P<0.05);经分析,年龄大、服药种类多、服药次数多、疾病认知水平低及月收入低是导致患者治疗依从性差的主要原因。结论影响糖尿病患者药物治疗依从性的因素有很多,应依患者实际情况采取具针对性的措施以提高患者服药依从性,保证患者血糖水平能控制于允许范围内。

Objective To investigate the related factors influencing compliance of diabetic patients with drug therapy.Methods 168 patients with type 2 diabetes mellitus admitted in our hospital from August 2016 to July 2017 were retrospectively analyzed and divided into two groups according to the good or bad compliance of drug therapy.The two groups were compared in terms of sex,age,course of disease,the level of cognition,the type of medication,the times of taking medicine and the monthly income,and analyzed the related factors affecting the compliance of the patients.Results Among the 168 patients,50 had good compliance with drug treatment,118 cases had poor compliance with drug treatment,the age of the patients with poor compliance,the number of medication and the number of medication were higher than those with good compliance,while the cognitive level and monthly income of the patients were lower than those of the patients with good compliance.It has statistical significance(P<0.05).After analysis,the main reasons for poor treatment compliance were age,medication type,frequency of medication,low level of cognition and low monthly income.Conclusion There are many factors affecting the compliance of the patients with diabetes.We should take specific measures according to the actual situation of the patients in order to improve the compliance of the patients,so as to ensure that the blood sugar level of the patients can be controlled within the permitted range.