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作 者:高椿 GAO Chun(Department of medicine,Yutian Town Central Health Center,Changle District,Fuzhou 350200,China)
机构地区:[1]福建省福州市长乐区玉田镇中心卫生院内科,福州350200
出 处:《中国医药指南》2024年第17期87-90,共4页Guide of China Medicine
摘 要:目的探讨影响社区老年糖尿病患者遵医行为因素,并提出相应对策。方法选取2021年1月至2023年12月我社区中心收治的确诊2型糖尿病的老年患者80例为研究对象。按照其遵医行为情况分为不良遵医嘱组与良好遵医嘱组,两组均为40例。针对影响社区老年糖尿病患者遵医行为的相关因素进行单因素及多因素Logistic回归分析。并针对不良遵医行为提出相应对策。结果文化程度、家庭年总收入、有无配偶、有无退休金、病程、有无糖尿病并发症及有无焦虑抑郁为影响社区老年糖尿病患者遵医行为的影响因素。文化程度在初中及以下,家庭年总收入在8万元/年以下,无配偶,无退休金及存在焦虑抑郁为影响社区老年糖尿病患者遵医行为的独立危险因素(P<0.05),干预后观察组生活质量评分和对糖尿病疾病的自我效能评分均显著高于对照组(P<0.05)。结论文化程度在初中及以下,家庭年总收入在8万元/年以下,无配偶,无退休金及存在焦虑抑郁为影响社区老年糖尿病患者遵医行为影响社区老年糖尿病患者遵医行为的独立危险因素,进行有效的干预,对提高社区老年糖尿病患者遵医行为有重要意义。Objective To investigate the influencing factors of medical compliance behavior of elderly diabetic patients in community and propose the corresponding countermeasures.Methods A total of 80 elderly patients diagnosed with type 2 diabetes who were admitted in Yutian Town Central Health Center in Changle District from January 2021 to December 2023 were divided into the poor medical advice group and the good medical advice group,40 cases in both groups.Univariate and multivariate logistic regression analysis were performed to analyze the factors affecting the medical compliance behavior of elderly diabetic patients in the community and put forward corresponding countermeasures for poor medical compliance behavior.Results Education,total annual family income,spouse,pension and anxiety and depression were the factors affecting the medical compliance behavior of elderly diabetic patients in the community,Education level of junior high school or below,total annual family income of less than 80,000 yuan/year,no spouse,no pension,and anxiety and depression were independent risk factors affecting the medical compliance behavior of elderly diabetic patients in the community(P<0.05),the life quality score and self-efficacy score of diabetes disease in the observation group were significantly higher than those in the control group(P<0.05).Conclusions Education level of junior high school or below,total annual family income of less than 80,000 yuan/year,no spouse,no pension,and anxiety and depression are independent risk factors affecting the medical compliance behavior of elderly diabetic patients in the community.
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