Shiyanbola Olayinka O, Nelson Jessica
Department of Pharmacy Practice, South Dakota State University's, USA.
S D Med. 2011 Oct;64(10):365-8.
The objectives of this study are to describe the illness perceptions and medication beliefs of minority women with diabetes and to examine if these beliefs have an impact on medication non-adherence.
Minority women who had been diagnosed with diabetes within the past six months, taking prescribed medications and able to speak English were recruited in Sioux Falls. Patients were interviewed about their views on diabetes, beliefs in medicines and medication non-adherence. Descriptive statistics examined patient characteristics. Mann-Whitney U tests compared patients' beliefs to their medication non-adherence. Spearman's rho correlation examined associations between illness perceptions, medication non-adherence and beliefs in medicines.
The subjects were predominantly Native American (81.3 percent), had had diabetes for a long time (mean= 9.06 years), and had an average age of 46 years. More than half (56.3 percent) reported being non- adherent. No correlations were found between medication beliefs and non-adherence. Patients' beliefs that their actions can control the disease were associated with medication non-adherence.
There was not enough sample size and statistical power to be able to make a valid conclusion about the associations of beliefs and adherence. However, women are often the major caregivers in a family. Due to their socio-cultural positions, family roles may seem more important than medication adherence, and their illness and/or beliefs in medicines may not impact their behavior. Cultural beliefs may not be perceptible during clinical consultations; therefore, a continued effort to understand socio-cultural factors that may impact patients with diabetes, especially minority women, should be done.
本研究的目的是描述患有糖尿病的少数族裔女性的疾病认知和用药观念，并探讨这些观念是否对用药依从性有影响。
在苏福尔斯招募过去六个月内被诊断出患有糖尿病、正在服用处方药且会说英语的少数族裔女性。就她们对糖尿病的看法、用药观念和用药不依从情况对患者进行访谈。描述性统计分析患者特征。曼-惠特尼U检验比较患者的观念与其用药不依从情况。斯皮尔曼等级相关分析疾病认知、用药不依从和用药观念之间的关联。
受试者主要是美国原住民（81.3%），患糖尿病时间较长（平均=9.06年），平均年龄46岁。超过一半（56.3%）的人报告存在用药不依从情况。未发现用药观念与不依从之间存在相关性。患者认为自己的行为可以控制疾病这一观念与用药不依从有关。
样本量和统计效力不足以就观念与依从性之间的关联得出有效结论。然而，女性往往是家庭中的主要照顾者。由于她们的社会文化地位，家庭角色可能看起来比用药依从性更重要，而且她们的疾病和/或用药观念可能不会影响她们的行为。在临床咨询过程中，文化观念可能不易察觉；因此，应持续努力了解可能影响糖尿病患者，尤其是少数族裔女性的社会文化因素。
