江苏省农村不同地区糖尿病患者相关知识知晓情况与治疗依从性调查

发布时间：2019-07-02 14:16

【摘要】：目的了解江苏省农村不同地区糖尿病患者的相关知识知晓情况和治疗依从性,并探讨其影响因素,从而为探索农村糖尿病县乡村协作管理策略提供依据。方法采用典型抽样法,在苏南、苏中、苏北地区各选取1个样本县;在每个样本县中随机抽取6~8个乡镇,共22个乡镇;在每个乡镇中随机抽取3~4个村,共76个村;最后采用系统抽样法,抽取每个样本村中符合纳入和排除标准的糖尿病患者共1 925例作为调查对象。于2015年7—11月,采用自行设计的调查问卷进行调查。问卷主要内容有:糖尿病患者的基本情况、糖尿病相关知识知晓情况、治疗依从性情况等。共发放问卷1 925份,回收有效问卷1 792份,问卷的有效回收率为93.1%。结果 1 792例患者中,糖尿病相关知识的知晓率为61.3%(1 098/1 792),其中苏南地区为57.1%(364/637),苏中地区为64.7%(334/516),苏北地区为62.6%(400/639)。苏南、苏中、苏北3个地区糖尿病患者对糖尿病空腹血糖诊断标准、危险因素(肥胖、家族史、吸烟饮酒)、血糖控制因素(定期监测血糖、高油高糖食物)、是否导致失明、血糖稳定时是否继续服药的知晓率比较,差异均有统计学意义(P0.05)。不同性别、年龄、婚姻状况、文化程度、职业、参加医保的形式及地区的糖尿病患者的糖尿病相关知识知晓率比较,差异有统计学意义(P0.05)。多因素Logistic回归分析显示,性别、婚姻状况、文化程度是糖尿病患者糖尿病相关知识知晓情况的影响因素(P0.05)。1 792例糖尿病患者中,服药依从性好者共1 623例(90.6%),其中苏南、苏中、苏北地区分别为601例(94.3%)、492例(95.3%)、530例(82.9%)。不同年龄、职业、地区及糖尿病相关知识知晓情况的糖尿病患者服药依从性比较,差异有统计学意义(P0.05)。多因素Logistic回归分析显示,地区和糖尿病相关知识知晓情况是糖尿病患者服药依从性的影响因素(P0.05)。服药依从性差的主要原因有:感觉症状减轻没必要服药(51.5%,86/167)、没有时间或忘记服药(36.5%,61/167)、担心长期服药的副作用(7.2%,12/167)。结论江苏省农村不同地区糖尿病患者的糖尿病相关知识知晓情况及治疗依从性有差异,性别、婚姻状况、文化程度是糖尿病患者糖尿病相关知识知晓情况的影响因素,地区和糖尿病相关知识知晓情况是糖尿病患者服药依从性的影响因素。不同地区应根据管理现状,组建县乡村糖尿病纵向协作团队,以改善患者相关知识知晓情况和治疗依从性。
[Abstract]:Objective to understand the knowledge and treatment compliance of diabetic patients in different rural areas of Jiangsu Province, and to explore its influencing factors, so as to provide evidence for exploring rural cooperative management strategies in rural diabetic counties. Methods typical sampling method was used to select 1 sample county in southern Jiangsu, central Jiangsu and northern Jiangsu. 6 villages and 8 villages were randomly selected from each sample county, 22 villages and towns were randomly selected, and 3 villages and 4 villages were randomly selected from each township, with a total of 76 villages. Finally, a total of 1925 diabetic patients who met the criteria of inclusion and exclusion in each sample village were selected as the subjects of investigation. From July to November 2015, a self-designed questionnaire was used to investigate. The main contents of the questionnaire are: the basic situation of diabetic patients, diabetes related knowledge, treatment compliance and so on. A total of 1925 questionnaires were sent out and 1792 valid questionnaires were recovered. The effective recovery rate of the questionnaires was 93.1%. Results among the 1792 patients, the awareness rate of diabetes related knowledge was 61.3% (1,098 鈮，

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