Al-Saeedi Mohammed, Elzubier Ahmed G, Bahnassy Ahmed A, Al-Dawood Kasim M
Health Affairs, Makkah, Kingdom of Saudi Arabia.
Saudi Med J. 2002 Oct;23(10):1243-6.
To describe the types and pattern of treatment-related misconceptions among Primary Health Care Centers (PHCCs) registered diabetic patients in Makkah, Kingdom of Saudi Arabia.
A sample of 1039 PHCCs registered diabetic patients were interviewed using a structured questionnaire, concerning diabetic treatment-related misconceptions. This cross-sectional study was carried out in Makkah city, Kingdom of Saudi Arabia from May 2000 to September 2000. A scoring system was used to document the frequency of misconceptions. The relationship of misconceptions to socio-demographic and diabetes-related variables were assessed using chi-squared tests.
Four hundred and five (39%) patients had a high treatment misconception score. The score was significantly higher among females than males (P< 0.00001), and also among patients older than 35 years (P< 0.05). There were no statistically significant differences between Saudis and non-Saudis, or in association with different education levels. Also, the score was significantly higher among patients with a shorter disease duration (P<0.04), and among patients who did not enjoy continuity of care (P<0.00001). Patients' misconceptions were mostly related to reasons for stopping medications. Moreover, patients thought that cure from diabetes was expected following a short course of treatment (16.5%) and that one could eat what he or she liked as long as medications were taken (23%).
The results of this study showed the rate of treatment-related misconceptions to be high. It stresses the need for constant motivation and one on one level education at frequent intervals to encourage better knowledge regarding the disease and subsequent compliance to treatment.
描述沙特阿拉伯王国麦加市初级卫生保健中心（PHCCs）登记的糖尿病患者中与治疗相关的误解类型和模式。
采用结构化问卷对1039名PHCCs登记的糖尿病患者进行访谈，了解与糖尿病治疗相关的误解。这项横断面研究于2000年5月至2000年9月在沙特阿拉伯王国麦加市进行。使用评分系统记录误解的频率。使用卡方检验评估误解与社会人口统计学和糖尿病相关变量之间的关系。
405名（39%）患者的治疗误解得分较高。女性的得分显著高于男性（P<0.00001），35岁以上患者的得分也较高（P<0.05）。沙特人和非沙特人之间或与不同教育水平之间没有统计学上的显著差异。此外，病程较短的患者（P<0.04）和未享受连续护理的患者（P<0.00001）得分显著更高。患者的误解大多与停药原因有关。此外，患者认为短期治疗后有望治愈糖尿病（16.5%），并且只要服药就可以想吃什么就吃什么（23%）。
本研究结果显示与治疗相关的误解发生率较高。它强调需要持续激励并经常进行一对一的教育，以鼓励患者更好地了解疾病并随后遵守治疗。
