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目的调查影响慈溪市农村2型糖尿病患者用药依从性的因素。方法随机选择慈溪市农村2型糖尿病患者1289例,对其一般情况、家庭支持因素、药物治疗因素等方面进行问卷调查。并按其用药依从性好坏分为依从性好组与依从性差组,进行对比分析。结果依从性好1065例,依从性差224例。依从性好组患者年龄相对较轻,在婚状态、文化程度较高,有糖尿病家族史、慢性并发症及治疗中消极情绪所占百分率低,自身经济情况也较好(无须家庭经济支持)、家人多提醒其用药、关注其治疗,复诊间隔时间多≥1个月、平均取药时间较短,自已有能力取药,对治疗效果满意、用胰岛素治疗率低,血糖控制满意。结论要提高农村糖尿病患者家属对其治疗的关注度,如提醒患者家属关注患者是否按时按量服药、对自己取药不便者主动帮助或协助取药、对老年糖尿病患者进行糖尿病教育、对个人经济困难者及时提供经济支持等,将糖尿病个人防治变为家庭防治。
Objective To investigate the factors influencing medication adherence in type 2 diabetic patients in rural Cixi. Methods 1289 cases of type 2 diabetes mellitus were randomly selected from rural Cixi City. The general situation, family support factors and drug treatment factors were surveyed. And according to their medication compliance is divided into good compliance and poor compliance group, comparative analysis. The results of good compliance 1065 cases, 224 cases of poor compliance. The patients with good compliance had relatively younger age, lower marital status, higher education level, family history of diabetes, chronic complications and negative emotions in treatment, and their own economic situation was better (no need of family financial support) Family remind their medication, concerned about their treatment, referral interval more than 1 month, the average taking time is short, have their own ability to take medicine, the treatment of satisfactory, with low insulin treatment, blood glucose control satisfaction. Conclusion Family members of rural patients with diabetes should pay more attention to their treatment. For example, parents and their families should be reminded of whether patients take medication on time and take the initiative to help or assist in taking medicines for patients taking medicine. Diabetes education for elderly patients with diabetes is also necessary. Difficulties in a timely manner to provide financial support, personal diabetes prevention and control will become family.