Division of Endocrinology and Metabolism, Department of Medicine, China Medical University Hospital, No 2, Yuh-Der Road, Taichung 40447, Taiwan.
Diabetes Metab. 2011 Nov;37(5):389-94. doi: 10.1016/j.diabet.2010.12.008. Epub 2011 Mar 31.
To evaluate whether perception of insulin therapy differs between patients with type 2 diabetes treated with insulin and those treated with oral hypoglycaemic agents (OHAs), and to examine whether gender, education level, injection duration and mode of injection were associated with the patients' perception of insulin therapy.
The validated Chinese version of the Insulin Treatment Appraisal Scale (ITAS) was used to evaluate the perception of insulin therapy among 100 insulin-treated patients and 100 OHA-treated patients. The higher the total score, the more negative is the appraisal.
The OHA-treated group had a higher mean total score (20 items), a higher mean total score for 16 negative items and a lower mean total score for four positive items than the insulin-treated group. The proportion of participants who rated the negative items as "agree" or "strongly agree" was significantly higher in the OHA-treated group than in the insulin-treated group. In addition, the proportion of participants who rated the four positive items as "agree" or "strongly agree" was lower in the OHA-treated group than in the insulin-treated group. Gender, education level, duration of insulin injection and mode of injection did not have a significant impact on perception of insulin therapy.
Chinese type 2 diabetic patients taking OHAs had more negative beliefs and attitudes towards insulin therapy than patients being treated with insulin. This difference was not associated with either gender or education level. Furthermore, neither injection duration nor type of device was related to perception of insulin therapy.
评估接受胰岛素治疗和口服降糖药（OHA）治疗的 2 型糖尿病患者对胰岛素治疗的看法是否存在差异，并研究性别、教育程度、注射持续时间和注射方式是否与患者对胰岛素治疗的看法有关。
使用经过验证的中文版胰岛素治疗评估量表（ITAS）评估 100 名胰岛素治疗患者和 100 名 OHA 治疗患者对胰岛素治疗的看法。总分越高，评价越负面。
OHA 治疗组的平均总分（20 项）、16 项负性项目的平均总分和 4 项正性项目的平均总分均高于胰岛素治疗组。OHA 治疗组中，认为负性项目为“同意”或“强烈同意”的患者比例明显高于胰岛素治疗组。此外，OHA 治疗组中，认为 4 项正性项目为“同意”或“强烈同意”的患者比例低于胰岛素治疗组。性别、教育程度、胰岛素注射持续时间和注射方式对胰岛素治疗的看法没有显著影响。
服用 OHA 的中国 2 型糖尿病患者对胰岛素治疗的信念和态度比接受胰岛素治疗的患者更为负面。这种差异与性别或教育程度无关。此外，注射持续时间或装置类型与对胰岛素治疗的看法无关。
