Howteerakul N, Suwannapong N, Rittichu C, Rawdaree P
Department of Epidemiology, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Bangkok 10400 Thailand.
Asia Pac J Public Health. 2007;19(1):43-9. doi: 10.1177/10105395070190010901.
This cross-sectional study is aimed to measure the prevalence of patient adherence to treatment regimens and factors affecting glycemic control among Type 2 diabetes patients. 243 diabetes patients seeking care at a tertiary hospital diabetic clinic in Bangkok were interviewed. HbA1c was used as an index of glycemic control. The proportions of cases with good adherence to physical exercise and diet regimen were 31.7 and 54.3%, respectively. About 46.5% reported receiving good social support for diabetes from his/her family. The median of HbA1c was 8% (normal range 4.7-6.3%). Approximately 33.3% achieved good glycemic control (HbAlc < or =7%), while 50.2% had poor control (HbAlc >8%). Multiple logistic regression analysis indicated two variables were significantly associated with glycemic control: adherence to diet control and exercise. Interactive health education should be introduced to increase patient adherence to treatment regimens. Family members should be informed about their important roles in encouraging patients' glycemic control.
这项横断面研究旨在测量2型糖尿病患者坚持治疗方案的患病率以及影响血糖控制的因素。对在曼谷一家三级医院糖尿病诊所就诊的243名糖尿病患者进行了访谈。糖化血红蛋白（HbA1c）被用作血糖控制的指标。坚持体育锻炼和饮食方案的患者比例分别为31.7%和54.3%。约46.5%的患者报告从其家人那里获得了良好的糖尿病社会支持。HbA1c的中位数为8%（正常范围4.7 - 6.3%）。约33.3%的患者实现了良好的血糖控制（糖化血红蛋白≤7%），而50.2%的患者控制不佳（糖化血红蛋白>8%）。多元逻辑回归分析表明，有两个变量与血糖控制显著相关：坚持饮食控制和锻炼。应引入互动式健康教育以提高患者对治疗方案的依从性。应告知家庭成员他们在鼓励患者控制血糖方面的重要作用。
