沙特阿拉伯糖尿病患者口服降糖药物的依从性
Adherence to oral hypoglycemic medication among patients with diabetes in Saudi Arabia.
作者信息
Ahmed Nahid Osman, Abugalambo Salwa, Almethen Ghadeer Hamad
机构信息
Department of Pharmacy Practice, Faculty of Pharmacy, Qassim University, Kingdom of Saudi Arabia.
Department of Pharmacy Practice, Qassim University, Kingdom of Saudi Arabia.
出版信息
Int J Health Sci (Qassim). 2017 Jul-Sep;11(3):45-49.
INTRODUCTION
Diabetes mellitus is a chronic progressive disease characterized by numerous health complications. Medication adherence is an important determinant of therapeutic outcome. The objective of this study was to assess hypoglycemic medication adherence.
MATERIALS AND METHODS
This is a descriptive cross-sectional web-based study. The eight-item Morisky medication adherence scale was used to assess adherence.
RESULTS
A convenience sample of 290 patients with diabetes was studied; of them, 10.7% had a high adherence, 34.5% had a medium adherence, and 54.8% had a low adherence level. Adherence score was a positively and significantly correlated with age ( < 0.05). Similar significant correlation was found between adherence level and gender ( < 0.05). However, adherence was not significantly associated with diabetes duration of disease ( > 0.05) and number of hypoglycemic medications ( >0.05).
CONCLUSION
The majority of patients with diabetes in this study had low adherence rate. The three main factors may contribute to non-adherence to medication are non-adherence to regular follow-up in diabetes clinic, non-adherence to healthy diet, and non-adherence to instruction to take medication.
引言
糖尿病是一种慢性进行性疾病，其特征为出现众多健康并发症。药物依从性是治疗结果的一个重要决定因素。本研究的目的是评估降糖药物的依从性。
材料与方法
这是一项基于网络的描述性横断面研究。采用八项Morisky药物依从性量表来评估依从性。
结果
对290例糖尿病患者的便利样本进行了研究；其中，10.7%具有高依从性，34.5%具有中等依从性，54.8%具有低依从性水平。依从性得分与年龄呈正相关且具有显著性（<0.05）。在依从性水平与性别之间也发现了类似的显著相关性（<0.05）。然而，依从性与糖尿病病程（>0.05）和降糖药物数量（>0.05）无显著关联。
结论
本研究中大多数糖尿病患者的依从率较低。导致不依从药物治疗的三个主要因素可能是未坚持在糖尿病门诊定期随访、未坚持健康饮食以及未坚持服药说明。
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