文章摘要
汪润清,钱东福.农村2型糖尿病患者治疗依从性及影响因素分析[J].南京医科大学学报(社会科学版),2018,(6):447~450
农村2型糖尿病患者治疗依从性及影响因素分析
Treatment adherence and its influencing factors of patients with type 2 diabetes mellitus
投稿时间:2018-08-18  
DOI:10.7655/NYDXBSS20180608
中文关键词: 2型糖尿病  治疗依从性  农村
英文关键词: type 2 diabetes mellitus  treatment adherence  rural areas
基金项目:国家自然科学基金项目“基于综合激励模型的农村慢性病卫生服务纵向整合策略研究”(71473130)
作者单位
汪润清 南京医科大学资产和产业管理处,江苏 南京 211166 
钱东福 南京医科大学医政学院,江苏 南京 211166 
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中文摘要:
      通过自行设计调查问卷,采用多阶段随机抽样方法对江苏省两地区农村2型糖尿病患者进行调查,了解农村2型糖尿病患者治疗依从性的现状,探明影响患者治疗依从性的因素,为完善有关对策提供依据?结果显示,90.6%的2型糖尿病患者服药依从性好?确诊年限?随访次数?疾病知识知晓程序等对农村2型糖尿病患者服药依从性的影响差异有统计学意义(P<0.05);57.9%的患者非药物治疗依从性较好,但在体育锻炼?戒烟限酒方面仍需加强?应加强各级医疗机构之间的配合,开展有针对性的知识宣教,提高患者自身的健康信念与自我管理意识,以进一步提高患者的治疗依从性?
英文摘要:
      By investigating rural type 2 diabetes patients in two counties in Jiangsu Province, the status quo of treatment adherence and related influencing factors of type 2 diabetic patients were analyzed, and the decision?making basis for perfecting relevant countermeasures were provided. Face?to?face interviews were conducted by self?designed questionnaires. Multistage random sampling was used to select patients for investigation. 90.6% of patients with type 2 diabetes mellitus in the two counties had good medication adherence. Length of be diagnosed, times of follow?ups, the awareness of knowledge of disease were the statistical significant factors of influencing medication adherence for rural type 2 diabetic patients (P<0.05). 57.9% percentage of patients had good non?drug treatment adherence. However, the physical exercise and the control of smoking and alcohol still need to be strengthened. It is necessary to strengthen the coordination among medical institutions among different levels, increase the awareness of diabetes knowledge for patients, and build up the patients’ confidence and consciousness of self?management, in order to boost patients’ treatment adherence.
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