江苏省2型糖尿病患者遵医行为及影响因素分析  

Medical compliance behavior and influencing factors of patients with type 2 diabetes mellitus in Jiangsu Province of China

作　　者：潘晓群[1] 张永青[1] 苏健[1] 武鸣[1] 覃玉[1] PAN Xiao-qun;ZHANG Yong-qing;SU Jian;WU Ming;QIN Yu(Jiangsu Provincial Center for Disease Control and Prevention,Nanjing,Jiangsu Province 210009,China)

机构地区：[1]江苏省疾病预防控制中心慢性非传染病防制所

出　　处：《中国慢性病预防与控制》2019年第8期585-588,共4页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：江苏省卫生厅医学创新团队科技项目(K201105);江苏省第四期“333工程”科研资助立项项目(BRA2013107)

摘　　要：目的了解纳入江苏省基本公共卫生服务健康管理的糖尿病患者遵医行为及其影响因素,为进一步开展社区糖尿病综合防治工作提供依据。方法于2013年12月至2014年1月采用整群随机抽样方法,抽取江苏省常熟市、淮安市清河区和淮安区共44个乡镇(街道)纳入国家基本公共卫生服务管理的19079名2型糖尿病患者进行遵医行为问卷调查,采用SAS9.4统计软件进行χ^2检验,遵医行为的影响因素采用多因素非条件logistic回归分析。结果江苏省2型糖尿病患者遵医嘱进行血糖监测、饮食控制和运动锻炼的比例分别为75.1%、67.8%和34.5%,有2种及以上遵医行为的比例为64.3%。多因素logistic回归分析结果显示,女性(OR=1.28,95%CI:1.19~1.38)、现在吸烟(OR=1.51,95%CI:1.38~1.66)和现在饮酒(OR=1.29,95%CI:1.16~1.44)患者不遵医行为的危险性增加,文化程度高(OR=0.79,95%CI:0.76~0.83)、家庭年收入增加(OR=0.88,95%CI:0.85~0.91)、病程长(OR=0.92,95%CI:0.88~0.95)和药物治疗(OR=0.69,95%CI:0.66~0.73)的患者更容易遵医。结论建议加强对基本公共卫生服务糖尿病患者健康行为的综合干预,提高他们对糖尿病的认识,促进其行为的改变,提高遵医比例,并应重点关注女性、病程短、文化程度低和家庭收入低的患者。Objective To understand the medical compliance behavior and influencing factors of type 2 diabetes mellitus (T2DM) patients with disease management provided by the National Basic Public Health Services in Jiangsu Province,and to provide the basis for starting the further work of preventing and treating T2DM in the communities.Methods From December of 2013 to January of 2014,the randomly cluster sampling method was used to select 19 079 T2DM patients with disease management provided by the National Basic Public Health Services from 44 towns or streets of Changshu city,Qinghe district and Huai'an district in Huai'an city as the subjects for questionnaire investigation of medical compliance behavior.The χ^2 test was used to analyze the data,the multivariate unconditional logistic regression was used to analyze the influencing factors of medical compliance behavior.The used software was SAS 9.4.Results The proportions of medical compliance behaviors on glycemic monitoring,dietary control and physical activity in T2DM patients of Jiangsu Province were 75.1%,67.8% and 34.5%, respectively.The proportion of ≥ 2 medical compliance behaviors was 64.3%.The multivariate unconditional logistic regression showed that females (OR=1.28,95%CI:1.19-1.38),cigarette smokers (OR=1.51,95%CI:1.38-1.66) and alcohol drinkers (OR= 1.29,95%CI:1.16-1.44) had the increased risk of medical compliance disobedience;the T2DM patients with higher educational level (OR=0.79,95%CI:0.76-0.83),higher household income (OR=0.88,95%CI:0.85-0.91),longer disease course (OR=0.92, 95%CI:0.88-0.95) and medication treatment(OR=0.69,95%CI:0.66-0.73) had good medical compliance behaviors.Conclusion Comprehensive intervention on health behaviors of T2DM patients with the National Basic Public Health Services should be strengthened to improve the awareness,to promote the change of behaviors,and to increase the proportion of medical compliance behaviors,specially for female T2DM patients and T2DM patients with short disease course,lower educational levels and l

关 键 词：糖尿病 遵医行为 影响因素 

分 类 号：R587.1[医药卫生—内分泌]