保健门诊老年2型糖尿病患者治疗依从性影响因素及管理措施  

The Influencing Factors of Treatment Compliance of Geriatric Patients with T2DM in Health Care Clinic and Countermeasures

作　　者：常仁翠[1] 张海风[1] 董学英[1] 

机构地区：[1]山东省立医院保健门诊,济南250021

出　　处：《中国康复》2009年第3期214-215,共2页Chinese Journal of Rehabilitation

摘　　要：目的:了解老年2型糖尿(T2DM)病患者的治疗依从性及其影响因素。方法:采用随机分层抽样方法调查300例老年T2DM患者,内容包括患者一般情况、治疗依从性、T2DM知识水平、健康信念和社会支持等,并对所得数据资料进行统计分析。结果:300例患者的治疗依从性得分以药物治疗依从性得分最高,定期复查依从性得分最低;影响患者治疗依从性的因素分别为就诊医院、健康信仰、T2DM知识水平及社会支持,其中影响最大的因素为健康信仰。结论:患者的治疗依从性影响T2DM的治疗效果。为减少或延缓T2DM并发症的发生,护理人员应针对性制定更加系统有效的护理干预措施,以提高T2DM治疗效果。Objective： To evaluate the treatment compliance of geriatric patients with type 2 diabetic mellitus （T2DM） and the influencing factors. Methods： A random sampling method was used in this study. A total of 300 geriatric patients with T2DM were investigated, including general conditions, treatment compliance, questionnaire of basic knowledge about T2DM, health belief, and social support. The obtained data were statistically analyzed. Results： 300 geriatric patients with the score of medical treatment compliance was highest, and that of periodic visit examination lowest. The factors influencing the treatment compliance were as follows： chosen hospitals, knowledge about T2DM, health belief and social support. Among them, health belief was the most important factor. Conclusion： Patient compliance influenced the curative effect of geriatrie patients with T2DM. In order to reduce or delay the occurrence of T2DM complications, nurses should take more effective measures systemati- cally to improve the curative effects.

关 键 词：老年2型糖尿病 治疗依从性 影响因素 护理 

分 类 号：R473.5[医药卫生—护理学]