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《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:

2022年14期

页码:

2678-2682

栏目:

临床与预防

出版日期:

2022-07-30

文章信息/Info

Title:

Study on knowledge, attitude, and adherence of medication treatment among diabetic patients

作者:

张玉¹; 2; 吕玉玉¹; 2; 冯霞¹; 2; 陈存川¹; 2; 王海鹏¹; 2

1. 山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心，山东 济南 250012；
2. 国家卫生健康委员会卫生经济与政策研究重点实验室（山东大学），山东 济南 250012

Author(s):

ZHANG Yu*;  LV Yu-yu;  FENG Xia;  CHEN Cun-chuan;  WANG Hai-peng

*Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China

关键词:

药物治疗认知; 药物治疗态度; 药物治疗依从性; 糖尿病患者

Keywords:

Medication treatment;  Knowledge;  Attitude;  Adherence;  Diabetes patients

分类号:

R587.1

DOI:

10.20043/j.cnki.MPM.202112302

文献标识码:

A

摘要:

目的 了解糖尿病患者药物治疗依从性现状及其影响因素，探讨药物治疗认知、态度与依从性之间的关系，为改善药物治疗依从性提供参考。方法 采用分层抽样方法，在山东省东中西部地区选取900名纳入基本公共卫生服务的糖尿病患者进行问卷调查，对842份有效问卷进行描述性分析、χ2检验以及多因素logistic回归分析。结果 842名糖尿病患者中，52.7%的患者药物治疗依从性较好。年龄越大的患者药物治疗依从性越差（OR = 0.66，95%CI：0.46～0.94，P = 0.022；OR = 0.46，95%CI：0.30～0.71，P＜0.001）；病程5～10年的患者比小于5年的患者药物治疗依从性更好（OR = 1.43，95%CI：1.03～1.98，P = 0.034）；药物治疗认知水平越高的患者药物治疗依从性越好（OR = 2.78，95%CI：1.21～6.38，P = 0.016；OR = 2.89，95%CI：1.27～6.58，P = 0.012）；药物治疗态度较好的患者比较差的患者药物治疗依从性更好（OR = 2.58，95%CI：1.28～5.18，P = 0.008）。结论 糖尿病患者的药物治疗依从性仍有待提升；提高患者的药物治疗认知水平与治疗态度有助于提高药物治疗依从性；应加强对糖尿病患者的健康知识教育，转变患者的药物治疗态度。

Abstract:

Objective To understand the status and influencing factors of medication adherence in diabetes patients, and to explore the relationship between medication knowledge, attitude, and adherence, so as to provide reference for improving medication adherence. Methods Using stratified random sampling method, 900 diabetic patients enrolled in basic public health services in eastern and western Shandong Province were selected for a questionnaire survey. Descriptive analysis, Chi-square test and multivariate Logistic regression analysis were performed based on 842 valid questionnaires. Results Among the 842 diabetic patients, 52.7% had better medication adherence. The older the patient, the worse the medication adherence (OR=0.66, 95%CI: 0.46-0.94, P=0.022; OR=0.46, 95%CI: 0.30-0.71, P<0.001); patients with 5-10 years of disease duration had better medication adherence than those with less than 5 years (OR=1.43, 95%CI: 1.03-1.98, P=0.034); patients with higher levels of medication awareness had better medication adherence (OR=2.78, 95%CI:1.21-6.38, P=0.016; OR=2.89, 95%CI:1.27-6.58, P=0.012); patients with better medication attitudes had better medication adherence than patients with poorer attitudes (OR=2.58, 95%CI:1.28-5.18, P=0.008). Conclusion The medication adherence of diabetic patients still needs to be improved. Improving the level of medication cognition and treatment attitude of patients can help to improve medication adherence. Health knowledge education of diabetic patients should be strengthened to change the medication attitude of patients.

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备注/Memo

备注/Memo:

基金项目：山东省自然科学基金青年项目（ZR2016GQ02）
作者简介：张玉（1998—），女，硕士在读，研究方向：慢性病管理与服务
通信作者：王海鹏，E-mail：wanghaipeng@sdu.edu.cn

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更新日期/Last Update: 2022-07-28