我院糖尿病患者用药依从性和疾病认知程度的调查分析  

Investigation and Analysis of Medication Compliance and Diseases Awareness of Diabetic Patients in Our Hospital

作　　者：和晶[1,2] 虞雪梅[1,2] 

机构地区：[1]北京市海淀医院 [2]北京大学第三医院海淀院区药剂科,北京100080

出　　处：《中国药房》2014年第48期4520-4522,共3页China Pharmacy

摘　　要：目的:了解我院糖尿病患者自我管理现状,为实施个体化药学服务提供依据。方法:采用Morisky用药依从性评估问卷和糖尿病知识测试问卷(DKT)对来我院就诊的240名糖尿病患者进行调查,并对数据进行统计分析。结果:共发放问卷240份,回收有效问卷194份,有效回收率为80.83%。194名受访患者中,75人(38.66%)用药依从性好,119人(61.34%)用药依从性不佳,其中经常忘记服药、外出忘记带药、担心药物副作用3个因素是影响用药依从性的主要因素;60人(30.93%)疾病认知水平好,112人(57.73%)疾病认知水平一般,另有22人(11.34%)疾病认知水平较差,糖尿病知识测试问卷中差错率较高的8个题目内容涉及糖尿病饮食、足部护理、急慢性并发症的防治、监测指标的意义、胰岛素的使用注意及忘记用药的正确处理方法等方面。结论:我院糖尿病患者用药依从性和疾病认知程度均不理想,提高患者对医嘱的遵从和自我管理水平是治疗团队面临的一项重要工作。OBJECTIVE：To understand the condition of diabetic patient self management so as to provide reference for the implementation of individualized pharmaceutical care. METHODS：A total of 240 diabetic patients in outpatient department of our hospital were investigated with Morisky compliance questionnaire and diabetes knowledge test（DKT）,and the data was analyzed statistically. RESULTS：240 questionnaires were distributed and 194 effective questionnaires were collected with the effective recovery rate of 80.83%. Among 194 surveyed patients,75 patients had good compliance（38.66%）,and 119 had poor compliance（61.34%）. The main influential factors of the compliance included often forgetting to take medicine,forgetting to carry drugs,worrying about the side effects of drugs. 60 patients（30.93%）had good diabetic knowledge;112（57.73%）was general,and another22（11.34%）poor. The contents of 8 topics with high error rate involved diabetes diet,foot care,acute and chronic complications prevention,monitoring index meaning,insulin use attention,the correct processing method for forgetting to take medicine,etc.CONCLUSIONS：Diseases awareness and medication compliance of diabetic patients are not ideal. It is an important task for treatment team to improve compliance of medication and self management level.

关 键 词：糖尿病 用药依从性 疾病认知程度 调查分析 

分 类 号：R587.1[医药卫生—内分泌] R195[医药卫生—内科学]