Department of Endocrinology, Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.
Diabetes Care. 2011 Feb;34(2):338-40. doi: 10.2337/dc10-1779.
To investigate diabetic patients' perceptions of illness and treatments, and explore relationships to adherence and blood glucose control.
Forty-nine type 1 and one hundred and eight type 2 diabetic patients completed questionnaires assessing illness perceptions, treatment beliefs, and adherence to medications, diet, and exercise. Blood glucose control was assessed from blood tests.
Patients rated medication more important than diet and exercise, and reported higher adherence to medications. Insulin was perceived as more helpful for diabetes, while antihypertensives and cholesterol medication were perceived more helpful for preventing heart problems. Perceptions were associated with adherence to insulin, cholesterol and antihypertensive medications, exercise, and diet. Blood glucose control in type 1 diabetic patients was associated with insulin adherence and perceived personal control, and in type 2 diabetic patients to being prescribed insulin or antihypertensives, and perceived personal control.
Patients hold specific mental models about diabetes treatments, which are associated with adherence.
调查糖尿病患者对疾病和治疗的认知，并探讨其与依从性和血糖控制的关系。
49 名 1 型糖尿病患者和 108 名 2 型糖尿病患者完成了评估疾病认知、治疗信念以及药物、饮食和运动依从性的问卷。血糖控制通过血液检查进行评估。
患者认为药物比饮食和运动更重要，并且报告了更高的药物依从性。胰岛素被认为对糖尿病更有帮助，而降压药和降脂药被认为对预防心脏问题更有帮助。认知与胰岛素、胆固醇和降压药物、运动和饮食的依从性有关。1 型糖尿病患者的血糖控制与胰岛素依从性和个人控制感有关，而 2 型糖尿病患者的血糖控制与胰岛素或降压药物的处方以及个人控制感有关。
患者对糖尿病治疗持有特定的心理模式，这些模式与依从性有关。
