Pirdehghan Azar, Poortalebi Nafise
Department of Community and Preventive Medicine, School Of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Community and Preventive Medicine, School Of Medicine, University of Shahid Sadoughi, Yazd, Iran.
J Res Health Sci. 2016 Spring;16(2):72-5.
Despite the effectiveness of drug therapy in diabetes management high rates of poor adherence persist. The purpose of this study was to determine the factors influencing the medication adherence and dietary regiment in type2 diabetic patients.
This cross sectional study was conducted on 300 type2 diabetic patients referred to General Internal Medicine Clinic, Yazd Shohdaye Kargar Hospital,Yazd City, central Iran between September and December 2013. Each consented participant was interviewed by a trained study member using a questionnaire in three sections: Socio-demographic questions, self-reported Morisky medication adherence scale and Disease and medication beliefs Patient's questionnaire. Multivariable logistic regression model was developed to identify independent predictors of poor adherence. P<0.05 was considered statistically significant.
Patients had diabetes for an average of 8.87 (SD: 6.0) yr with a mean age of 58.22 (SD: 10.27) yr. Totally, 101(33.7%) of the patients reported poor adherence with their diabetes medication. In multivariate analyses, good familial support (OR=0.11; 0.03, 0.37), and tendency to consume sweets (OR=1.21; 1.05, 1.39), belief about medication (OR=0.02; 0.018, 0.07) and tendency to consume vegetables (OR=0.75; 0.65, 0.88) were considered as predictive factors for poor adherence.
Familial support, belief about medication, tendency to consume sweets and vegetables are logical goals for educational interventions to modify diabetes self-management.
尽管药物治疗在糖尿病管理中具有有效性，但依从性差的发生率仍然很高。本研究的目的是确定影响2型糖尿病患者药物依从性和饮食方案的因素。
本横断面研究于2013年9月至12月在伊朗中部亚兹德市Shohdaye Kargar医院普通内科门诊就诊的300例2型糖尿病患者中进行。每位同意参与的患者由一名经过培训的研究人员使用一份问卷进行访谈，问卷分为三个部分：社会人口学问题、自我报告的Morisky药物依从性量表以及疾病和药物信念患者问卷。建立多变量逻辑回归模型以确定依从性差的独立预测因素。P<0.05被认为具有统计学意义。
患者患糖尿病的平均时间为8.87（标准差：6.0）年，平均年龄为58.22（标准差：10.27）岁。总共有101例（33.7%）患者报告其糖尿病药物依从性差。在多变量分析中，良好的家庭支持（比值比=0.11；0.03，0.37）、食用甜食的倾向（比值比=1.21；1.05，1.39）、对药物的信念（比值比=0.02；0.018，0.07）以及食用蔬菜的倾向（比值比=0.75；0.65，0.88）被视为依从性差的预测因素。
家庭支持、对药物的信念、食用甜食和蔬菜的倾向是改善糖尿病自我管理教育干预的合理目标。
