2型糖尿病病人服药治疗依从性研究  被引量:37

A study on medicine-taking compliance of type 2 diabetes mellitus patients

在线阅读下载全文

作  者:郑淑君[1] 成守珍[1] 李思勤[1] 邱泉[2] 蔡卫[1] 胡丙杰[3] 陈维清[2] 

机构地区:[1]中山大学附属第一医院,510080 [2]中山大学公共卫生学院,510080 [3]广东省广州市卫生局,510180

出  处:《护理研究(中旬版)》2007年第8期2081-2083,共3页Chinese Nursing Researsh

基  金:2005年度广州市医药卫生科技重大项目(2005-Zda-001)基金资助

摘  要:[目的]了解2型糖尿病病人服药治疗依从性以及影响因素,为有效开展糖尿病教育提供依据。[方法]选择在广州市5家医院就诊的335例2型糖尿病病人,对服药治疗依从性、糖尿病知识、健康信念、自我效能以及服药一般情况等进行问卷调查,用线性逐步回归分析法分析各种因素对服药依从性的影响。[结果]病人服药依从性均分与总分比为0.83;能完全按医嘱长期坚持服药者仅占67.0%。病人服药依从性与糖尿病知识掌握程度、健康信念、自我效能、购药方式、有无药物副反应、是否工作忙或事情多和就医的便利性相关(P<0.01或P<0.05)。[结论]医院应强化糖尿病健康教育,确保病人长期坚持服药;重点关注工作忙、记忆力减退、经济困难等因素产生的影响;调动家庭支持力量;政府部门应制定相应治疗优惠政策,合理配置医疗资源。Objective: To know about the medicine - taking compliance of type 2 diabetes mellitus (DM) patients and its influencing factors, so as to provide some basis for unfolding education effectively for them. Methods: A total of 335 cases of type 2-DM patients visiting in five hospitals, in Guangzhou city were investigated by filling out questionnaire, including medicine- taking compliance, DM knowledge, health belief, self - efficacy and general condition of medicine - taking. And the influence of each factors on medicine - taking compliance was analyzed by linear stepwise regression analysis Results: The ratio of the average score to the total score in medicine- taking compliance of all DM patients was 0.83. Only 67.0 % of DM patients could totally follow the doctor's orders to insist on taking medicine for a long time. The medicine- taking compliance of DM patients was correlated with their mastering degree of DM knowledge ( P 〈 0.05 ), health belief (P 〈 0. 01), self - efficacy (P〈0.05), ways of buying medicine (P 〈 0.05), side effects of medicine ( P 〈 0.05), busy work or many affairs (P 〈 0. 01 ) and convenience of seeing a doctor ( P 〈 0. 01 ). Conclusion: Health education should be strengthened for DM patients in hospitals, so as to guarantee them to insist on taking medicine for a long time. One should pay more attention to the influence of busy work, decrease of memory and financial difficulties on the compliance of medicine - taking for DM patients. Family supports should be strengthened. Government department should work out corresponding preferential policies for DM patients and dispose medical resources reasonably.

关 键 词:2型糖尿病 服药依从性 健康认知 自我效能 影响因素 

分 类 号:R473.5[医药卫生—护理学]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象