Rahman Syed Ata Ur
Department of Pharmaceutics, College of Pharmacy, Taibah University, Al-Madinah Al-Munawarah, Saudi Arabia.
Curr Diabetes Rev. 2019;15(3):233-239. doi: 10.2174/1573399814666180405095540.
The study aimed to explore the predictors affecting patient satisfaction to glucose monitoring system (GMSS) and drug attitude inventory (DAI) / treatment adherence among type 2 diabetes mellitus patients.
Cross-sectional observational study design was used to conduct this study. Subjective assessments were made by questionnaires and objective data was collected from the patients' medication profiles registered to diabetic clinics. Patients were recruited from five different public hospitals of Hyderabad region, India. A total of 430 patients completed for analysis. The predictors to GMSS dimensions and adherence status were analyzed with Wilks's lambda effect and multivariate generalized linear model (GLM/MANOVA).
Study population consisted of 64.4% males and 35.6% females, age mean ± SD (43.3±11.42) years, majority of the study of participants were in between 40-60 years of age (53.3%). Majority of participants were considered healthy on BMI scale (67.2%), in contrast 234 (54.4%) reported high glycemic index with Hb1Ac (> 7.5%). Descriptive distribution pattern showed 241 (56.1%) participants were moderately satisfied with the current monitoring system. However, 157 (36.5%) reported poor satisfaction to GMSS scale score. Findings showed that low mean score of openness and worthwhileness are reported among nonadherent participants. Behavioral burden significantly high among nonadherent patients then adherents. However, emotional burden showed no effect on treatment adherence.
This study found high rates of poor glucose monitoring system satisfaction along with low-to-poor treatment adherence among T2DM patients. Individual characteristics and clinical parameters significantly and positively predict the variance of GMSS and DAI among patients' with T2DM.
本研究旨在探讨影响2型糖尿病患者对血糖监测系统（GMSS）的满意度以及药物态度量表（DAI）/治疗依从性的预测因素。
采用横断面观察性研究设计进行本研究。通过问卷调查进行主观评估，并从糖尿病诊所登记的患者用药记录中收集客观数据。研究对象来自印度海得拉巴地区的五家不同公立医院。共有430名患者完成分析。采用威尔克斯 lambda 效应和多元广义线性模型（GLM/MANOVA）分析GMSS维度和依从性状态的预测因素。
研究人群中男性占64.4%，女性占35.6%，年龄均值±标准差为（43.3±11.42）岁，大多数研究参与者年龄在40至60岁之间（53.3%）。大多数参与者在BMI量表上被认为健康（67.2%），相比之下，234名（54.4%）报告糖化血红蛋白（Hb1Ac）血糖指数较高（>7.5%）。描述性分布模式显示，241名（56.1%）参与者对当前监测系统中度满意。然而，157名（36.5%）报告对GMSS量表评分不满意。结果显示，在未坚持治疗的参与者中，开放性和价值感的平均得分较低。未坚持治疗的患者行为负担显著高于坚持治疗的患者。然而，情感负担对治疗依从性没有影响。
本研究发现2型糖尿病患者对血糖监测系统满意度低的比例较高，同时治疗依从性也较低。个体特征和临床参数显著且正向预测2型糖尿病患者中GMSS和DAI的差异。
