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阿联酋阿治曼一家医院中患者对抗糖尿病药物的依从性

Patients' Adherence to Anti-Diabetic Medications in a Hospital at Ajman, UAE.

作者信息

Arifulla Mohammed, John Lisha Jenny, Sreedharan Jayadevan, Muttappallymyalil Jayakumary, Basha Sheikh Altaf

机构信息

Department of Pharmacology, Gulf Medical University, PO Box 4184 Ajman, United Arab Emirates.

Statistical Support Facility, Centre for Advanced Biomedical Research and Innovation, Gulf Medical University, PO Box 4184 Ajman, United Arab Emirates.

出版信息

Malays J Med Sci. 2014 Jan;21(1):44-9.

PMID:24639611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3952347/
Abstract

BACKGROUND

Anti-diabetic medications are integral for glycemic control in diabetes. Non-adherence to drugs can alter blood glucose levels, resulting in complications. Adherence to anti-diabetic medications reported by patients and the factors associated with medication adherence among adult patients with diabetes mellitus were explored.

METHODS

This cross-sectional study was carried out among patients with type II diabetes mellitus attending the Internal Medicine Department of a hospital in the United Arab Emirates. Consecutive patients were selected, and data regarding their medication adherence were collected using a questionnaire. Data analysis was carried out using SPSS-20. The chi-square test was performed to examine the associations between categorical variables; a two-sided P Value < 0.05 was considered significant.

RESULTS

A total of 132 patients participated in the study (63 males; 69 females). The mean age (standard deviation) of the respondents was 54 years (SD 10.2). The self-reported adherence rate to anti-diabetic drugs was 84%. The most common reason for non-adherence was forgetfulness, and the adherence rate was similar in both genders. Patients with Bachelor's and Master's degree reported greater adherence rate to anti-diabetic medication in comparison to the secondary school educated.

CONCLUSION

The self-reported adherence rate to anti-diabetic medications was 84%, and forgetfulness was the most common reason for non-adherence. Future studies on strategies to improve adherence rate should be considered.

摘要

背景

抗糖尿病药物是糖尿病血糖控制的重要组成部分。不遵医嘱用药会改变血糖水平,导致并发症。本研究旨在探讨成年糖尿病患者报告的抗糖尿病药物依从性及其相关因素。

方法

本横断面研究在阿拉伯联合酋长国一家医院内科就诊的II型糖尿病患者中进行。选取连续就诊的患者,通过问卷收集其用药依从性数据。使用SPSS-20进行数据分析。采用卡方检验分析分类变量之间的关联;双侧P值<0.05被认为具有统计学意义。

结果

共有132名患者参与研究(63名男性;69名女性)。受访者的平均年龄(标准差)为54岁(标准差10.2)。自我报告的抗糖尿病药物依从率为84%。不依从的最常见原因是遗忘,且男女依从率相似。与受过中学教育的患者相比,拥有学士和硕士学位的患者报告的抗糖尿病药物依从率更高。

结论

自我报告的抗糖尿病药物依从率为84%,遗忘是不依从的最常见原因。应考虑未来关于提高依从率策略的研究。

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