农村2型糖尿病患者治疗依从性及影响因素分析

Treatment adherence and its influencing factors of patients with type 2 diabetes mellitus

通过自行设计调查问卷,采用多阶段随机抽样方法对江苏省两地区农村2型糖尿病患者进行调查,了解农村2型糖尿病患者治疗依从性的现状,探明影响患者治疗依从性的因素,为完善有关对策提供依据。结果显示,90.6%的2型糖尿病患者服药依从性好。确诊年限、随访次数、疾病知识知晓程序等对农村2型糖尿病患者服药依从性的影响差异有统计学意义(P<0.05);57.9%的患者非药物治疗依从性较好,但在体育锻炼、戒烟限酒方面仍需加强。应加强各级医疗机构之间的配合,开展有针对性的知识宣教,提高患者自身的健康信念与自我管理意识,以进一步提高患者的治疗依从性。

By investigating rural type 2 diabetes patients in two counties in Jiangsu Province,the status quo of treatment adherence and related influencing factors of type 2 diabetic patients were analyzed,and the decision-making basis for perfecting relevant countermeasures were provided.Face-to-face interviews were conducted by self-designed questionnaires.Multistage random sampling was used to select patients for investigation.90.6%of patients with type 2 diabetes mellitus in the two counties had good medication adherence.Length of be diagnosed,times of follow-ups,the awareness of knowledge of disease were the statistical significant factors of influencing medication adherence for rural type 2 diabetic patients(P<0.05).57.9%percentage of patients had good non?drug treatment adherence.However,the physical exercise and the control of smoking and alcohol still need to be strengthened.It is necessary to strengthen the coordination among medical institutions among different levels,increase the awareness of diabetes knowledge for patients,and build up the patients’confidence and consciousness of self?management,in order to boost patients’treatment adherence.