CAJ | 학술논문

目的：调查和分析麻城市农村糖尿病患者口服药治疗和自我管理的遵医行为现状。方法基于自行设计的糖尿病患者遵医行为调查问卷，以电话随访的方式，调查2013年全年在麻城市人民医院糖尿病门诊首次就诊的糖尿病患者。通过描述性统计分析方法，描述农村糖尿病患者的主要人口学特征及其口服药治疗和自我管理的依从性现状。结果共调查麻城市农村糖尿病患者978例。定时服药、适量运动、饮食调整和定期血糖、糖化血红蛋白(HbA1c)检测的依从性非常好的比例分别为36.61%、42.02%、19.30%和28.02%，依从性非常差的比例分别为6.85%、5.11%、10.22%和5.21%。结论麻城市农村糖尿病患者治疗和自我管理的整体依从性较差，且以饮食调整最为严重。应加强农村糖尿病患者的健康教育工作，促进其遵医行为的改善。
목적：조사화분석마성시농촌당뇨병환자구복약치료화자아관리적준의행위현상。방법기우자행설계적당뇨병환자준의행위조사문권，이전화수방적방식，조사2013년전년재마성시인민의원당뇨병문진수차취진적당뇨병환자。통과묘술성통계분석방법，묘술농촌당뇨병환자적주요인구학특정급기구복약치료화자아관리적의종성현상。결과공조사마성시농촌당뇨병환자978례。정시복약、괄량운동、음식조정화정기혈당、당화혈홍단백(HbA1c)검측적의종성비상호적비례분별위36.61%、42.02%、19.30%화28.02%，의종성비상차적비례분별위6.85%、5.11%、10.22%화5.21%。결론마성시농촌당뇨병환자치료화자아관리적정체의종성교차，차이음식조정최위엄중。응가강농촌당뇨병환자적건강교육공작，촉진기준의행위적개선。
Objectives To investigate and analyze compliance for oral medication and self-management of rural dia-betes patients.Methods Based on self-designed questionnaire about patient compliance for diabetes,through tele-phone follow-up,we surveyed diabetes patients in diabetes clinics in the people's hospital of Macheng county in 2013.Descriptive statistical analysis was used to describe the main demographic characteristics and compliance for oral medications and self management of diabetes patients.Results In total,978 cases of diabetes patients in Ma-cheng were included.Rates of very good compliance for oral medication regularly,moderate exercise,diet adjust-ment,and regular blood glucose,and glycosylated hemoglobin (HbA1c)test were 36.61%,42.02%,1 9.30% and 36.61% respectively,and the proportions of very poor adherence were 6.85%,5.1 1%,10.22% and 6.85% re-spectively.Conclusions The overall compliance for oral medication and self-management especially diet adjustment, were poor.Further health education should be conducted to rural diabetes patients to promote the improvement of adherence for diabetes patients.