芜湖市2型糖尿病患者服药依从性现况及影响因素分析  

Analysis of the Status and Influencing Factors of Medication Compliance of Type 2 Diabetes Patients in Wuhu

作　　者：刘欢 张铭[2] 费小芸[3] 陶秀彬[4] 周志庆[4] 王贵珍 刘凡生 LIU Huan;ZHANG Ming;FEI Xiaoyun(Department of Blood Purification Center, Yijishan Hospital, Wannan Medical College)

机构地区：[1]皖南医学院弋矶山医院血液净化中心,241001 [2]皖南医学院创新创业学院 [3]皖南医学院弋矶山医院内分泌科 [4]皖南医学院弋矶山医院护理部 [5]皖南医学院护理学院

出　　处：《长治医学院学报》2022年第2期97-102,共6页Journal of Changzhi Medical College

基　　金：芜湖市科技计划项目(2020rkx4-5);皖南医学院中青年科研基金(WKS2019F01);2020年度皖南医学院教学质量与教学改革工程项目(2020jyxm58);2022年皖医弋矶山医院管理与服务创新项目(CX2022013)。

摘　　要：目的:了解芜湖市2型糖尿病患者服药依从性现状及其影响因素,为提高2型糖尿病患者服药依从性提供参考依据。方法:采用便利抽样法在安徽省某三级甲等医院内分泌科抽取336例2型糖尿病患者应用服药依从性量表、慢性病资源调查问卷、电子健康素养量表进行问卷调查。结果:芜湖市2型糖尿病患者,服药依从性为59.2%,多因素非条件Logistic回归分析结果显示,慢性病资源利用和电子健康素养是2型糖尿病患者服药依从性的影响因素;与确诊2型糖尿病时间≤1年的人群比较,确诊2型糖尿病时间2~5年、6~10年、11~15年、>16年的服药依从性水平较低;服药依从性总分与电子健康素养总分及各维度得分均呈显著正相关,差异有统计学意义(P<0.05)。结论:芜湖市2型糖尿病患者服药依从性一般,确诊2型糖尿病时间、慢性病资源利用和电子健康素养是2型糖尿病患者服药依从性的主要影响因素。Objective:To understand the status quo and influencing factors of medication compliance of patients with type 2 diabetes in Wuhu and its influencing factors,and to provide a reference for improving medication compliance of patients with type 2 diabetes.Methods:336 patients with type 2 diabetes mellitus(T2DM)were selected from the Department of Endocrinology of a tertiary Grade A hospital in Anhui Province by convenience sampling method for questionnaire investigation and the medication compliance scale,chronic disease resource questionnaire and electronic health literacy scale were applied to conduct the questionnaire survey.Results:The medication compliance of patients with type 2 diabetes in Wuhu was 59.2%.The results of multi-factor non-conditional logistic regression analysis showed that the utilization of chronic disease resources and e-health literacy were positively correlated with medication compliance of patients with type 2 diabetes;compared with those who had been diagnosed with type 2 diabetes for less than 1 year,the level of medication compliance of those who had been diagnosed with type 2 diabetes for 2~5 years,6~10 years,11~15 years and more than 16 years was lower.The total score of medication compliance was positively correlated with the total score of e-health literacy and the scores of each dimension,and the difference was statistically significant(P<0.05).Conclusion:Patients with type 2 diabetes in Wuhu were generally compliant with medication.The time of diagnosis of type 2 diabetes,utilization of chronic disease resources,and electronic health literacy were the main influencing factors of medication compliance of patients with type 2 diabetes.

关 键 词：2型糖尿病患者 服药依从性 影响因素 

分 类 号：R587.1[医药卫生—内分泌]