CAJ | 학술논문

目的研究社会支持对2型糖尿病患者治疗依从性的影响.方法以典型抽样法抽取2型糖尿病患者504名,以自填式结构问卷调查其社会支持、治疗方式及治疗依从性等情况.分别以药物治疗、饮食治疗、生活行为、血糖监测依从性为应变量,以客观支持、主观支持和对支持的利用度为主要自变量,进行General Linear Model回归分析和Logistic回归分析社会支持对治疗依从性的影响.结果社会支持利用程度较高的男性患者,药物治疗和生活行为的依从性显著提高(Beta＝0.244,95%CI＝0.129～0.359;Beta＝0.117,95%CI＝0.016～0.219);客观支持(调整OR＝1.151,95%CI＝1.018～1.302)和对支持的利用度(调整OR＝1.278,95%CI＝1.070～1.526)促进男性血糖监测行为.女性患者获得的客观支持越高,饮食治疗依从性就越好(Beta＝0.113,95%CI＝0.016～0.210);获得的主观支持越高生活行为依从性就越好(Beta＝0.037,95%CI＝0.003～0.070);社会支持未能显著影响女性血糖监测行为.结论社会支持对2型糖尿病患者治疗依从性有一定的促进作用,且对不同性别和不同依从性的影响是不同的.
목적 연구사회지지대2형당뇨병환자치료의종성적영향.방법 이전형추양법추취2형당뇨병환자504명,이자전식결구문권조사기사회지지、치료방식급치료의종성등정황.분별이약물치료、음식치료、생활행위、혈당감측의종성위응변량,이객관지지、주관지지화대지지적이용도위주요자변량,진행General Linear Model회귀분석화Logistic회귀분석사회지지대치료의종성적영향.결과 사회지지이용정도교고적남성환자,약물치료화생활행위적의종성현저제고(Beta＝0.244,95%CI＝0.129～0.359;Beta＝0.117,95%CI＝0.016～0.219);객관지지(조정OR＝1.151,95%CI＝1.018～1.302)화대지지적이용도(조정OR＝1.278,95%CI＝1.070～1.526)촉진남성혈당감측행위.녀성환자획득적객관지지월고,음식치료의종성취월호(Beta＝0.113,95%CI＝0.016～0.210);획득적주관지지월고생활행위의종성취월호(Beta＝0.037,95%CI＝0.003～0.070);사회지지미능현저영향녀성혈당감측행위.결론 사회지지대2형당뇨병환자치료의종성유일정적촉진작용,차대불동성별화불동의종성적영향시불동적.
ObjectiveTo explore the influence of social support on adherence to treatment among type 2 diabetic patients.Methods504 type 2 diabetic patients recruited by typical sampling method were inquired about their social support,treatment regimen,adherence to treatment,and relevant socio-demographic factors with a self-administered questionnaire.General Linear Model regression and Logistic regression analysis were performed for exploring the association between different social support and adherence to different treatment regimen.ResultsMale patients with better utility of social support had better adherence to medications(Beta=0.244,95%CI:0.129～0.359) and health living recommendation (Beta=0.117,95%CI:0.016～0.219),while objective social support (adjust OR=1.151,95%CI:1.018～1.302) and the utility of social support (adjust OR=1.278,95%CI:1.070～1.526) could induce their glucose monitoring behavior. To female,objective social support was significantly associated with adherent to dietary recommendations (Beta=0.113,95%CI:0.016～0.210),while subjective social support could influence their adherence to health living recommendation (Beta=0.037,95%CI:0.003～0.070),and social support were not significantly associated with glucose monitoring behavior.ConclusionSocial support was associated with the adherence to treatment among type 2 diabetic patients,and the influence was different with different gender and treatment regimen.