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叶墨, 刘胜兰, 张欣, 魏少明, 范欣颐, 卢立新, 李英华, 赵芳红, 常春, 史宇晖. 北京市糖尿病患者服药依从性影响因素[J]. 中国公共卫生, 2019, 35(4): 435-437. DOI: 10.11847/zgggws1120475
引用本文: 叶墨, 刘胜兰, 张欣, 魏少明, 范欣颐, 卢立新, 李英华, 赵芳红, 常春, 史宇晖. 北京市糖尿病患者服药依从性影响因素[J]. 中国公共卫生, 2019, 35(4): 435-437. DOI: 10.11847/zgggws1120475
Mo YE, Sheng-lan LIU, Xin ZHANG, . Influencing factors of medication compliance among community diabetes patients in Beijing: a cross-sectional study[J]. Chinese Journal of Public Health, 2019, 35(4): 435-437. DOI: 10.11847/zgggws1120475
Citation: Mo YE, Sheng-lan LIU, Xin ZHANG, . Influencing factors of medication compliance among community diabetes patients in Beijing: a cross-sectional study[J]. Chinese Journal of Public Health, 2019, 35(4): 435-437. DOI: 10.11847/zgggws1120475

北京市糖尿病患者服药依从性影响因素

Influencing factors of medication compliance among community diabetes patients in Beijing: a cross-sectional study

  • 摘要:
      目的  探究糖尿病患者服药依从性的影响因素,为提高糖尿病患者服药依从性水平提供依据。
      方法  于2017年3 — 4月在北京市城市地区采用整群抽样方法,抽取2个行政区,在每个行政区各抽取3个社区,每个社区以卫生服务站为单位,对其管辖范围内的糖尿病患者就基本信息、糖尿病一般情况、自我管理知识和技能、自我管理行为、自我管理行为动机、自我效能等方面进行调查。使用单因素方差分析和logistic回归分析服药依从性的影响因素。
      结果  调查对象为607例,平均年龄(64.8 ± 8.4)岁,男女比例1 : 1.83,知识、技能、自我效能和动机得分分别为(47.2 ± 14.8)、(62.8 ± 14.2)、(74.3 ± 18.0)、(61.7 ± 18.1)分。服药依从性方面,服药遗忘率较高(47.1 %)。服药依从性与自我效能(OR = 1.012,95 % CI = 1.006~1.018)和病程长短(OR = 1.046,95 % CI = 1.016~1.076)存在相关,自我效能得分越高、病程越长的患者服药依从性越好。
      结论  提高自我效能对提高服药依从性具有积极意义。

     

    Abstract:
      Objective  To explore influencing factors of medication compliance among community diabetes patients and to provide evidences for improving diabetes patients′ medication compliance.
      Methods  We conducted a self-administered questionnaire survey among 607 type 2 diabetes mellitus patients selected with cluster sampling in 6 communities of 2 administrative regions in Beijing city during March to April, 2017. We collected the patients′ information on demographics, general condition of the disease, self-management knowledge/skill/behavior/motivation, and self-efficiency using a self-designed questionnaire. Analysis of variance (ANOVA) and logistic regression were adopted to assess the correlation between self-efficiency and medication compliance.
      Results  For all the participants, the average age was 64.8 ± 8.4 years and the male to female ratio was 1 : 1.83; the mean scores were 47.2 ± 14.8, 62.8 ± 14.2, and 61.7 ± 18.1 for self-management knowledge, skill, and motivation and the mean score was 74.3 ± 18.0 for self-efficacy. About a half (47.1%) of the participants reported ever forgetting to take the medicine. Medication compliance was positively correlated with self-efficacy (odds ratio OR = 1.012, 95% confidence interval 95% CI: 1.006 – 1.018) and duration of the disease (OR = 1.046, 95% CI: 1.016 – 1.076).
      Conclusion  Self-efficacy promotion has positive impact on enhancing medication compliance among community type 2 diabetes mellitus patients.

     

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