社区老年糖尿病患者遵医行为依从性调查  

Survey of the Compliance to Medical Advice among Elder Patients with Diabetes in Communities

作　　者：顾竞春 龚幼龙[2] 吕斌 

机构地区：[1]闸北区芷江西路街道社区卫生服务中心,上海市200070 [2]复旦大学公共卫生学院

出　　处：《中国全科医学》2011年第26期3007-3008,共2页Chinese General Practice

基　　金：上海市科委基金(09DZ1950202)

摘　　要：目的探讨社区老年糖尿病患者遵医行为依从性状况。方法应用自行设计的糖尿病遵医行为问卷,对上海市社区>60岁的老年糖尿病患者进行问卷调查。结果患者改变不良生活方式依从性得分(3.1±0.8)分、健身锻炼依从性(2.6±1.0)分、自我监测血糖依从性(3.2±0.8)分、预防并发症依从性(3.2±0.9)分均偏低。患者遵医行为依从性好、中、差的构成比比较,差异有统计学意义(P<0.01)。血糖控制水平不同的糖尿病患者在饮食控制、用药、改变不良生活方式、健身锻炼、自我监测血糖、定期就医、预防并发症遵医行为依从性评分比较,差异均有统计学意义(P<0.05)。结论依从性差是造成糖尿病患者平时血糖控制不佳的主要因素之一。Objective To explore the compliance to medical advice of elder patients with diabetes in communities. Methods Self - designed questionaire was applied for compliance investigations among elder diabetes patients （ aged above 60） in communities in Shanghai. Results Compliance scores in the aspects of changing unhealthy lifestyle （3.1 ± 0. 8）, exercises （2. 6 ± 1.0）, self - monitoring of blood glucose （3.2 ± 0. 8 ） and prevention of complications （3.2±0. 9 ） were low. Compo- sition rations of patients with ＂ good＂,＂ average＂ and＂ poor＂ compliance were signifieantl different （P 〈 0. 01 ）. Compliance scores of diet management, medication, changing unhealthy lifestyle, exercises, self - monitoring of blood glucose, medical care, and complication prevention were significantly different among patients with different levels of glucose control （ P 〈 0. 05 ）. Conclusion Poor compliance is one of the main causes of poor control of blood glucose among diabetes patients.

关 键 词：社区卫生服务 老年人 糖尿病 遵医行为 病人依从 

分 类 号：R587.1[医药卫生—内分泌]