CAJ | 학술논문

目的探讨影响2型糖尿病患者治疗依从性的因素,为健康教育及预防保健提供指导依据.方法在广州市4家三级甲等医院用方便抽样的方法 ,连续选择符合纳入排除标准的2型糖尿病患者504例作为涮查对象,采用自行设计的问卷对入选患者进行一对一调查,内容包括一般情况、治疗依从性、糖尿病知识、社会支持和自我效能等.用相关分析以及多元线性回归分析探讨2型糖尿病患者治疗依从性的影响因素.结果 2型糖尿病患者药物治疗依从性与自我效能呈显著正相关,患者的自我效能越高,其药物治疗依从性就越好;患者的年龄越大、得到的主观和客观社会支持越多、自我效能水平越高,饮食治疗的依从性就越好;患者的客观社会支持和社会支持利用度越高,其进行血糖监测的依从性也就越好;其生活方式越健康.结论 2型糖尿病患者的治疗依从性与多种因素相关,提高患者的自我效能和开展健康教育是提高患者治疗依从性的关键.
목적 탐토영향2형당뇨병환자치료의종성적인소,위건강교육급예방보건제공지도의거.방법 재엄주시4가삼급갑등의원용방편추양적방법 ,련속선택부합납입배제표준적2형당뇨병환자504례작위쇄사대상,채용자행설계적문권대입선환자진행일대일조사,내용포괄일반정황、치료의종성、당뇨병지식、사회지지화자아효능등.용상관분석이급다원선성회귀분석탐토2형당뇨병환자치료의종성적영향인소.결과 2형당뇨병환자약물치료의종성여자아효능정현저정상관,환자적자아효능월고,기약물치료의종성취월호;환자적년령월대、득도적주관화객관사회지지월다、자아효능수평월고,음식치료적의종성취월호;환자적객관사회지지화사회지지이용도월고,기진행혈당감측적의종성야취월호;기생활방식월건강.결론 2형당뇨병환자적치료의종성여다충인소상관,제고환자적자아효능화개전건강교육시제고환자치료의종성적관건.
Objective In order to know the influence factors about treatment compliance among patients with type 2 diabetes,and then offer certain positive reference for health education and prevention.Methods Selected 504 patients with type 2 diabetes among 4 hospitals in Guangzhou,interviewed them by self-designed questionnaire.The interview contents included patients' basic socio-demographic characteristics,treatment compliance,diabetes knowledge,social supprot and self-efficacy,and then analyzed the datum about the interview.Results After adjusting for gender,disease course,patients' type,education level,and incoming level,multiple linear regression analysis indicated that drug treatment compliance was positively associated with age,subjective social support,objective social support and degree of support utilization.Lifestyle was positively associated with age,objective social support and degree of support utilization.Conclusions There are several factors associated with the treatment compliance of patients with type 2 diabetes,enhance paitents' self-efficacy and carry out health education are the keys to promote their treatment compliance.