影响糖尿病患者药物治疗依从性相关因素临床分析(1)
摘 要：目的 探讨影响糖尿病患者药物治疗依从性的相关因素。方法 回顾性分析我院于2016年8月～2017年7月所收治的2型糖尿病患者168例，根据药物治疗依从性的好与差分为两组，比较两组患者在性别、年龄、病程、疾病认知水平、服药种类、服药次数及月收入等方面的差异，并分析影响患者药物治疗依从性的相关因素。结果 168例患者当中50例药物治疗依从性好，118例药物治疗依从性差；药物治疗依从性差患者的年龄、服药种类、服药次数高于药物治疗依从性好的患者，而疾病认知水平及月收入则低于药物治疗依从性好的患者，组间比较差异具有统计学意义(P<0.05)；经分析，年龄大、服药种类多、服药次数多、疾病认知水平低及月收入低是导致患者治疗依从性差的主要原因。结论 影响糖尿病患者药物治疗依从性的因素有很多，应依患者实际情况采取具针对性的措施以提高患者服药依从性，保证患者血糖水平能控制于允许范围内。
关键词：糖尿病；药物治疗；依从性
中图分类号：R587.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.036
, http://www.100md.com
文章编号：1006-1959(2018)08-0109-03
Clinical Analysis of Factors Related to Compliance with Drug Therapy in Patients with Diabetes Mellitus
LV Gui-ying
(Department of Endocrinology，Huanghe Hospital of Tianjin，Tianjin 300101，China)
Abstract：Objective To investigate the related factors influencing compliance of diabetic patients with drug therapy.Methods 168 patients with type 2 diabetes mellitus admitted in our hospital from August 2016 to July 2017 were retrospectively analyzed and divided into two groups according to the good or bad compliance of drug therapy.The two groups were compared in terms of sex，age， course of disease，the level of cognition，the type of medication，the times of taking medicine and the monthly income，and analyzed the related factors affecting the compliance of the patients.Results Among the 168 patients，50 had good compliance with drug treatment， 118 cases had poor compliance with drug treatment，the age of the patients with poor compliance，the number of medication and the number of medication were higher than those with good compliance，while the cognitive level and monthly income of the patients were lower than those of the patients with good compliance.It has statistical significance(P<0.05).After analysis，the main reasons for poor treatment compliance were age，medication type，frequency of medication，low level of cognition and low monthly income.Conclusion There are many factors affecting the compliance of the patients with diabetes.We should take specific measures according to the actual situation of the patients in order to improve the compliance of the patients，so as to ensure that the blood sugar level of the patients can be controlled within the permitted range.
, http://www.100md.com
Key words：Diabetes mellitus；Drug therapy；Compliance
据相关调查表明，有近60%～70%糖尿病患者的血糖水平并未得到有效控制，究其原因在于患者的服药依从性较差[1]。本研究選取了168例我院于2016年8月～2017年7月所收治的2型糖尿病患者为研究对象，统计了其药物治疗依从性情况，并分析了患者药物治疗依从性差的相关影响因素，现将研究结果报告如下。
1资料与方法
1.1一般资料 选取2016年8月～2017年7月天津市黄河医院收治的2型糖尿病患者168例为研究对象，所有患者均与WHO所制定糖尿病相关诊断标准相符，其中男87例，女81例；年龄 38～79岁，平均年龄(61.21±7.60)岁；病程1～20年，平均病程(12.63±3.42)年；血糖水平4.67～10.02 mmol/L，平均血糖(7.23±2.01)mmol/L。, http://www.100md.com(吕桂英)
关键词：糖尿病；药物治疗；依从性
中图分类号：R587.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.036
, http://www.100md.com
文章编号：1006-1959(2018)08-0109-03
Clinical Analysis of Factors Related to Compliance with Drug Therapy in Patients with Diabetes Mellitus
LV Gui-ying
(Department of Endocrinology，Huanghe Hospital of Tianjin，Tianjin 300101，China)
Abstract：Objective To investigate the related factors influencing compliance of diabetic patients with drug therapy.Methods 168 patients with type 2 diabetes mellitus admitted in our hospital from August 2016 to July 2017 were retrospectively analyzed and divided into two groups according to the good or bad compliance of drug therapy.The two groups were compared in terms of sex，age， course of disease，the level of cognition，the type of medication，the times of taking medicine and the monthly income，and analyzed the related factors affecting the compliance of the patients.Results Among the 168 patients，50 had good compliance with drug treatment， 118 cases had poor compliance with drug treatment，the age of the patients with poor compliance，the number of medication and the number of medication were higher than those with good compliance，while the cognitive level and monthly income of the patients were lower than those of the patients with good compliance.It has statistical significance(P<0.05).After analysis，the main reasons for poor treatment compliance were age，medication type，frequency of medication，low level of cognition and low monthly income.Conclusion There are many factors affecting the compliance of the patients with diabetes.We should take specific measures according to the actual situation of the patients in order to improve the compliance of the patients，so as to ensure that the blood sugar level of the patients can be controlled within the permitted range.
, http://www.100md.com
Key words：Diabetes mellitus；Drug therapy；Compliance
据相关调查表明，有近60%～70%糖尿病患者的血糖水平并未得到有效控制，究其原因在于患者的服药依从性较差[1]。本研究選取了168例我院于2016年8月～2017年7月所收治的2型糖尿病患者为研究对象，统计了其药物治疗依从性情况，并分析了患者药物治疗依从性差的相关影响因素，现将研究结果报告如下。
1资料与方法
1.1一般资料 选取2016年8月～2017年7月天津市黄河医院收治的2型糖尿病患者168例为研究对象，所有患者均与WHO所制定糖尿病相关诊断标准相符，其中男87例，女81例；年龄 38～79岁，平均年龄(61.21±7.60)岁；病程1～20年，平均病程(12.63±3.42)年；血糖水平4.67～10.02 mmol/L，平均血糖(7.23±2.01)mmol/L。, http://www.100md.com(吕桂英)