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目的调查浙江省慈溪市农村2型糖尿病患者药物治疗依从现状及影响药物治疗依从性的因素。方法对1 289例农村2型糖尿病患者药物治疗依从性现状及影响患者药物治疗依从性的因素进行问卷调查,并进行统计分析。结果药物治疗依从性好的患者1 065例(82.62%),差的患者224例(17.38%);年龄、婚姻状况、文化程度、糖尿病家族史、慢性并发症、治疗期间的消极情绪、家人提醒患者用药、家人关注患者治疗、家人提供经济支持、用药种数、每天用药次数、使用胰岛素、谁取药、平均每次取药时间、复诊间隔时间、对治疗的满意程度和药物不良反应等因素影响本市农村2型糖尿病患者药物治疗依从性;依从性好组与差组的毛细血管空腹血糖分别为(7.39±2.15)mmol/L、(8.88±4.10)mmol/L,两组差异有统计学意义(P<0.05)。结论影响本市农村2型糖尿病患者药物治疗依从性的因素包括个人因素、家庭因素及药物因素,家庭、社区医护人员、社会可加大对上述影响因素的优化干预来提高农村糖尿病患者的药物依从性。
Objective To investigate the status of drug treatment compliance and the factors influencing the compliance of drug treatment in rural patients with type 2 diabetes mellitus in Cixi City, Zhejiang Province. Methods A total of 1 289 rural patients with type 2 diabetes drug adherence status quo and affect the compliance of patients with drug treatment were investigated by questionnaire and statistical analysis. Results There were 1 065 cases (82.62%) with poor medication compliance and 224 cases (17.38%) with poor medication; age, marital status, educational level, family history of diabetes, chronic complications, negative emotions during treatment, Patient medication, family attention to patient treatment, family financial support, the number of drugs used, the number of daily medication, the use of insulin, who take the drug, the average time each medication, referral interval, the satisfaction of treatment and adverse drug reactions and other factors (7.39 ± 2.15) mmol / L and (8.88 ± 4.10) mmol / L respectively in the compliance group and the poor group, there were statistics differences between the two groups Significance (P <0.05). Conclusion The factors influencing drug treatment compliance in rural patients with type 2 diabetes in our city include personal factors, family factors and drug factors, family and community health care workers, and society can increase the optimal intervention of the above factors to improve drug adherence in rural diabetic patients Sex.