以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (19): 58-61.doi: 10.16460/j.issn1008-9969.2020.19.058

• 调查研究 • 上一篇    下一篇

初诊2型糖尿病患者服药依从性动态变化趋势及纵向预测因素

罗欢, 邹树芳   

  1. 西南医科大学附属医院 内分泌科,四川 泸州 646000
  • 收稿日期:2020-03-31 出版日期:2020-10-10 发布日期:2020-11-11
  • 通讯作者: 邹树芳（1964-）,女,四川泸州人,本科学历,主任护师。
  • 作者简介:罗欢（1987-）女,四川泸州人,本科学历,主管护师。
  • 基金资助:
    西南医科大学教育教学改革研究项目（JG2018017）

Dynamic Change of Medication Compliance of Newly-diagnosed Patients with Type2Diabetes Mellitus, Its Longitudinal Predictors

LUO Huan, ZOU Shu-fang   

  1. Dept. of Endocrinology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
  • Received:2020-03-31 Online:2020-10-10 Published:2020-11-11

PDF (PC)

391

赞

摘要： 目的 分析初诊2型糖尿病患者服药依从性的动态变化趋势及其纵向的预测因素。方法 以100例新确诊2型糖尿病患者为目标人群,利用糖尿病心理痛苦量表、用药信念量表、家庭关怀度指数问卷、Morisky药物依从性量表对患者进行资料收集;采用多元线性回归分析探讨确诊后第1天的糖尿病心理痛苦、用药信念、家庭关怀度对初诊2型糖尿病患者确诊后1、3及6个月的服药依从性影响。结果 初诊2型糖尿病患者的服药依从性得分情况在确诊后1、3、6个月分别是（6.5±1.9）、（5.6±1.7）、（4.9±1.3）分;服药依从性呈动态下降趋势（P<0.05）。多元线性回归分析发现糖尿病心理痛苦程度对初诊2型糖尿病患者确诊1、3、6个月后服药依从性情况具有负向预测作用（P<0.05）;用药信念对初诊2型糖尿病患者确诊1、3、6个月后服药依从性情况具有正向预测作用（P<0.05）;家庭关怀度对初诊2型糖尿病患者确诊3、6个月后服药依从性情况具有正向预测作用（P<0.05）。结论 2型糖尿病患者在初诊半年内服药依从性情况总体呈现动态下降的趋势,糖尿病心理痛苦、用药信念和家庭功能均可在早期预测初诊2型糖尿病患者的服药依从性情况。

关键词: 2型糖尿病, 初诊, 服药依从性, 纵向研究, 影响因素

Abstract: Objective To analyze the dynamic change of medication compliance of newly-diagnosed patients with type 2 diabetes mellitus (T2DM) and its longitudinal predictors.Methods Totally 100 newly-diagnosed T2DM patients were surveyed by using Diabetes Distress Scale (DDS), the Beliefs About Medicine Questionnaire (BMQ), the Family APGAR (adaptation, partnership, growth, affection,resolve) index and Morisky Medication Adherence Scale(MMAS). Multiple linear regression was used to analyze the influence of diabetes distress, medication belief, and family care on medication compliance in the very day after the diagnosis, 1 month, 3 and 6 months after the diagnosis.Results The score of medication compliance 1 month, 3 and 6 months after the diagnosis was 6.5±1.9, 5.6±1.7 and 4.9±1.3 respectively, which was decreased dynamically (P<0.05). Multiple linear regression showed that diabetes distress was a negative predictor (P<0.05) but medication belief and family care were positive predictors (P<0.05) for medication compliance 1 month,3 and 6 months after the diagnosis.Conclusion Overall,T2DM patients demonstrate a dynamic decrease in terms of medication compliance in the first half year after the diagnosis and diabetes distress, medication belief, and family care are predictors for medication compliance in T2DM patients.

Key words: T2DM, newly diagnosed, medication compliance, longitudinal research, influence factor

中图分类号: 

  • R473.5
[1] Khan MAB, Hashim MJ, King JK, et al.Epidemiology of Type 2 Diabetes-global Burden of Disease and Forecasted Trends[J].J Epidemiol Glob Health, 2020, 10(1):107-111.DOI:10.2991/jegh.k.191028.001.
[2] Elgart JF, Silvestrini C, Prestes M, et al.Drug Treatment of Type 2 Diabetes: Its Cost Is Significantly Associated with Hba1c Levels[J].Int J Clin Pract, 2019,73(4):e13336.DOI:10.1111/ijcp.13336.
[3] Andanalusia M, Athiyah U.Medication Adherence in Diabetes Mellitus Patients at Tanjung Karang Primary Health Care Center, Mataram[J].Basic Clin Physiol Pharmacol, 2019,30(6).DOI:10.1515/jbcpp-2019-0287.
[4] AlQarni K, AlQarni EA, Naqvi AA, et al.Assessment of Medication Adherence in Saudi Patients with Type II Diabetes Mellitus in Khobar City, Saudi Arabia[J].Front Pharmacol, 2019(10):1306.DOI:10.3389/fphar.2019.01306.
[5] 郦杭婷,周娜,楼数慧.糖尿病患者服药依从性评估方法的研究进展[J].护理与康复,2019,18(9):29-34.DOI:10.3969/j.issn.1671-9875.2019.09.006.
[6] 杨青,刘雪琴.中文版糖尿病痛苦量表信效度评价[J].护理学报,2010,17(17):8-10.DOI:10.16460/j.issn1008-9969.2010.17.023.
[7] 唐娇,高玲玲,胡细玲,等.中文版特异性用药信念量表应用于2型糖尿病患者的信效度检验[J].护理学杂志,2019,34(21):25-28.DOI:10.3870/j.issn.1001-4152.2019.21.025.
[8] Smilkstein G.The Family APGAR: A Proposal for a Family Function Test and Its Use by Physicians[J].J Fam Pract,1978,6(6):1231-1239.
[9] 王洁,莫永珍,卞茸文.中文版8条目Morisky用药依从性问卷在2型糖尿病患者中应用的信效度评价[J].中国糖尿病杂志,2013,21(12):1101-1104.DOI:10.3969/j.issn.1006-6187.2013.12.013.
[10] 张艳,高珊,惠蓉,等.个案管理对门诊初发2型糖尿病患者代谢指标及自我管理能力的影响[J].护理学报, 2019, 26(6):55-59.DOI:10.16460/j.issn1008-9969.2019.06.055.
[11] Kretchy IA, Koduah A, Ohene-Agyei T, et al.The Association between Diabetes-related Distress and Medication Adherence in Adult Patients with Type 2 Diabetes Mellitus: A Cross-sectional Study[J].J Diabetes Res, 2020,2020:4760624.DOI:10.1155/2020/4760624.
[12] Liu SY, Huang J, Dong QL, et al.Diabetes Distress, Happiness, and Its Associated Factors among Type 2 Diabetes Mellitus Patients with Different Therapies[J].Medicine, 2020,99(11):e18831.DOI:10.1097/MD.0000000000018831.
[13] Hashimoto K, Urata K, Yoshida A, et al.The Relationship Between Patients’ Perception of Type 2 Diabetes and Medication Adherence: A Cross-Sectional Study in Japan[J].J Pharm Health Care Sci,2019(5):2.DOI:10.1186/s40780-019-0132-8.
[14] Shiyanbola OO, Unni E, Huang YM.The Association of Health Literacy with Illness Perceptions, Medication Beliefs, And Medication Adherence among Individuals With Type 2 Diabetes[J].Res Social Adm Pharm, 2018,14(9):824-830.DOI:10.1016/j.sapharm.2017.12.005.
[15] Gu L, Wu S, Zhao S, et al.Association of Social Support and Medication Adherence in Chinese Patients with Type 2 Diabetes Mellitus[J].Int J Environ Res Public Health, 2017,14(12):1522.DOI:10.3390/ijerph14121522.
[16] 蒋燕,刘安诺,章秋,等.家属参与式教育对2型糖尿病患者代谢指标影响的Meta分析[J].中国现代医学杂志,2019,29(13):56-63.DOI:10.3969/j.issn.1005-8982.2019.13.011.
[1] 李丹妮, 邱丽燕, 吴隆燕, 谭铮可可, 陈欣, 杨丽. 前交叉韧带损伤日间手术患者恐动症的潜在剖面分析及影响因素研究[J]. 护理学报, 2025, 32(4): 12-17.
[2] 杜易梅, 刘莉, 郭立丽, 卢吉, 付苗苗, 刘杰. 妇科恶性肿瘤患者性健康研究进展[J]. 护理学报, 2025, 32(4): 28-33.
[3] 李长娥, 徐真真, 张文忠, 吴燕, 季红. 新生儿父母脐带血储存决策影响因素的定性研究[J]. 护理学报, 2025, 32(3): 74-78.
[4] 魏利, 赵兴颖, 刘佳, 何雨璇, 陈晓梅, 杨雪, 鲜继淑, 杨燕妮. 神经外科重症住院患者家庭照顾者照顾负担及影响因素分析[J]. 护理学报, 2025, 32(2): 1-6.
[5] 杨蓓, 叶红芳, 张宁, 相卢伟, 路诗雨. 老年2型糖尿病患者体力活动现状及影响因素研究[J]. 护理学报, 2025, 32(2): 7-12.
[6] 刘畅, 张维, 王翠雪, 岳鹏. ICU实施非限制性探视制度的影响因素研究进展[J]. 护理学报, 2025, 32(1): 34-38.
[7] 王进波, 吴姗, 黄蓉蓉, 陈代凤, 洪梅, 李审绥. 头颈癌患者自杀影响因素及干预的研究进展[J]. 护理学报, 2025, 32(1): 39-43.
[8] 陈莹莹, 丁红, 张根生. 患儿术后谵妄影响因素的研究进展[J]. 护理学报, 2024, 31(9): 32-35.
[9] 叶香, 黎楷, 黄敏, 张倩, 李际敏, 刘荣珍, 孟敏, 朱少玉, 谢翠华. 对成年2型糖尿病患者基于移动APP+家属共管血糖的研究[J]. 护理学报, 2024, 31(9): 60-65.
[10] 曹娟, 李方, 于跃, 戴丽, 杨丹丹, 李志华, 徐欣怡, 戴琪, 陈柯宇. 食管癌术后静脉血栓栓塞症风险预测模型的构建及验证[J]. 护理学报, 2024, 31(8): 63-68.
[11] 朱心悦, 嵇冰聪, 蓝雪芬, 季晓珍. 糖尿病患者电子健康素养研究进展[J]. 护理学报, 2024, 31(7): 36-39.
[12] 李莹, 周志欢. ICU护理缺失的研究进展[J]. 护理学报, 2024, 31(6): 43-46.
[13] 黄鑫, 余丽君, 张二明, 哈丽娜. 稳定期COPD患者的能量摄入现状及影响因素分析[J]. 护理学报, 2024, 31(5): 12-16.
[14] 张思爱, 赖翠薇, 李佳佳, 张亚军, 汪张毅, 张正涛, 法天锷. 护士专业态度的影响因素研究进展[J]. 护理学报, 2024, 31(4): 38-41.
[15] 林梅燕, 张星星, 李瑞华, 陶思琪, 甄莉. 肠造口患者居家睡眠质量特点及影响因素研究进展[J]. 护理学报, 2024, 31(24): 27-32.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!