糖尿病患者依从性调查及全程化药学服务对依从性的影响  

Investigation and Analysis of Diabetic Patient's Compliance and the Influence of Integrated Pharmaceutical Care on Compliance

作　　者：李海燕[1] 陈世财[1] 

机构地区：[1]首都医科大学潞河教学医院,北京101149

出　　处：《中国药房》2015年第2期257-259,共3页China Pharmacy

基　　金：中国健康促进基金会基层合理用药共同成长计划项目(No.CHP-JC1209)

摘　　要：目的:调查糖尿病患者的依从性并探讨全程化药学服务对依从性的影响。方法:对98例某院住院患者进行问卷调查,评价其用药依从性。在住院期间给予全程化药学服务,分别在出院1、3、6个月观察依从性变化,采用SPSS 17.0软件对数据进行统计和分析。结果:入院时依从性好的患者有22例,占22.45%;出院1个月依从性好的患者有84例,占85.71%;出院3个月依从性好的患者有45例,占45.92%;出院6个月依从性好的患者有29例,占29.60%。对患者依从性有显著影响的因素有受教育程度、医疗费用承担形式、工作状况、并发症、对糖尿病的了解程度、治疗方案、对疾病的重视程度等。结论:糖尿病患者的依从性有待进一步提高,全程化药学服务有助于提高糖尿病患者的用药依从性。OBJECTIVE： To investigate the compliance of diabetic patients, and to explore the influence of integrated pharma- ceutical care on compliance. METHODS： The questionnaire survey was conducted among 98 inpatients to evaluate their medication compliance. Integrated pharmaceutical care was provided for them in hospital The change of their compliance was observed in 1 month, 3 months, 6 months after discharged. The data was analyzed statistically by using SPSS 17.0 software. RESULTS： 22 cases had good compliance on admission, accounting for 22.45% ; 84 cases in a month after discharged, accounting for 85.71% ; 45 cas- es in 3 months after discharged, accounting for 45.92% ; 29 cases in 6 months after discharged, accounting for 29.60%. There were factors that had a significant impact on patient compliance, such as education, the form of bearing health care costs, working conditions, compilations of diabetes, understanding of diabetes, treatment scheme, attention to disease, etc. CONCLUSIONS： The diabetic patient＇ s compliance should be further improved. Integrated pharmaceutical care can help to improve medication compli- ance of diabetic patients.

关 键 词：糖尿病教育 依从性 全程化药学服务 

分 类 号：R587.1[医药卫生—内分泌] R95[医药卫生—内科学]