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糖尿病患者孤独感与药物治疗依从性之间关系的评估:一项横断面研究。

Evaluation of the relationship between loneliness and medication adherence in patients with diabetes mellitus: A cross-sectional study.

作者信息

Kusaslan Avci Dilek

机构信息

Department of Family Medicine, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey.

出版信息

J Int Med Res. 2018 Aug;46(8):3149-3161. doi: 10.1177/0300060518773223. Epub 2018 May 13.

Abstract

Objective The emotional status of patients with diabetes mellitus (DM) is important in the course of treatment. The present study aimed to determine the level of loneliness among patients with DM and to evaluate the relationship between the patients' level of loneliness and medication adherence. Method This cross-sectional study used a semi-structured questionnaire and the University of California, Los Angeles Loneliness Scale to collect data from 325 patients who were diagnosed with DM. Results We found that loneliness scores were significantly elevated in individuals with a low level of education, unmarried individuals, and students. Furthermore, these scores were elevated in patients diagnosed with type 1 DM, patients on insulin therapy, patients diagnosed with diabetic foot syndrome, patients who did not exercise regularly, and patients who reported being disturbed by reminders from their families or spouses to take their medications or they did not feel anything after such reminders. Conclusions Individuals with DM may encounter various problems in their daily lives. Evaluating the emotional status in these individuals, including loneliness and treatment adherence, is important in ensuring that their needs are being met.

摘要

目的 糖尿病(DM)患者的情绪状态在治疗过程中很重要。本研究旨在确定糖尿病患者的孤独程度,并评估患者的孤独程度与药物依从性之间的关系。方法 这项横断面研究使用半结构化问卷和加利福尼亚大学洛杉矶分校孤独量表,从325名被诊断为糖尿病的患者中收集数据。结果 我们发现,受教育程度低的个体、未婚个体和学生的孤独得分显著升高。此外,1型糖尿病患者、接受胰岛素治疗的患者、被诊断为糖尿病足综合征的患者、不经常锻炼的患者以及报告因家人或配偶提醒服药而感到困扰或提醒后无感觉的患者的孤独得分也升高。结论 糖尿病患者在日常生活中可能会遇到各种问题。评估这些个体的情绪状态,包括孤独感和治疗依从性,对于确保他们的需求得到满足很重要。

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