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目的了解糖尿病患者网络续药的需求意愿及其影响因素,为糖尿病的防治提供参考依据。方法2014年11—12月,采用随机抽样方法对在天津医科大学代谢病医院糖尿病门诊抽取的304例糖尿病单纯取药患者进行问卷调查。结果 304例糖尿病患者中,有70.4%的患者一个月至少得到医院取药2次,有78.0%的患者1个处方≥6个月未作调整,有86.2%的患者取药首选三级医院或专科医院,有53.9%的患者对目前取药流程较不满意,有80.6%的患者对每次所开药物的使用方法完全清楚,有63.8%的患者对治疗指南推荐的检查间隔时间很不清楚或不太清楚,有44.4%的患者续药需有人陪伴或代拿,有74.7%的糖尿病患者自己或请他人帮忙操作电脑网络非常方便,有70.4%的糖尿病患者认为网络续药风险较小,糖尿病患者对开展网络续药的需求率为91.1%;多因素非条件logistic回归分析结果显示,对推荐检查间隔时间越不清楚、自己或请他人帮忙操作电脑上网越方便、认为网络续药风险越小的糖尿病患者对开展网络续药的需求越大。结论糖尿病患者对网络续药的需求意愿较大,对推荐检查间隔时间的清楚度、自己或请他人帮忙操作电脑上网的方便程度和认为网络续药风险大小是糖尿病患者对开展网络续药意愿的主要影响因素。
Objective To understand the willingness and desire of patients with diabetes mellitus and the related factors for diabetes mellitus and to provide reference for the prevention and treatment of diabetes mellitus. METHODS: From November to December 2014, 304 randomized patients with diabetes mellitus were enrolled in the Diabetes Outpatient Department of Metabolic Hospital of Tianjin Medical University. Results Of the 304 diabetic patients, 70.4% of patients had received at least 2 hospitalizations a month, 78.0% of patients had a prescription of ≥6 months without adjustment, and 86.2% of patients preferred medicine to tertiary hospitals or In the specialty hospitals, 53.9% of the patients were dissatisfied with the current drug taking process. 80.6% of the patients were completely sure about the method of using each drug. 63.8% of the patients did not know the recommended time of the treatment guidelines Or not sure, 44.4% of patients need to be accompanied by or take drugs, 74.7% of diabetic patients or help others to operate the computer network is very convenient, 70.4% of patients with diabetes that the Internet less risk of continued medication, The demand rate of diabetic patients for network renewal was 91.1%. The multivariate non-conditional logistic regression analysis showed that the more unclear the interval of recommended examinations, the more convenient it is for them to ask or help others to operate the computer online. The smaller the need for people with diabetes to carry out internet renewal. Conclusion Diabetic patients are more willing to renew their medication, and the degree of convenience of recommending check intervals, convenience of themselves or others to help them access the Internet, and the risk of re-exposing to diabetes are the willingness of diabetic patients to carry out the network renewal the main factor of influence.