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沙特阿拉伯胡巴尔市成年II型糖尿病患者用药依从性评估。

Assessment of Medication Adherence in Saudi Patients With Type II Diabetes Mellitus in Khobar City, Saudi Arabia.

作者信息

AlQarni Khaled, AlQarni Elham A, Naqvi Atta Abbas, AlShayban Dhfer Mahdi, Ghori Syed Azizullah, Haseeb Abdul, Raafat Mohamed, Jamshed Shazia

机构信息

College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Obstetrics and Gynecology, King Fahd Military Medical Complex, Dammam, Saudi Arabia.

出版信息

Front Pharmacol. 2019 Nov 8;10:1306. doi: 10.3389/fphar.2019.01306. eCollection 2019.

Abstract

Medication adherence is defined as taking medications as advised and prescribed by health care professionals for stated duration. Diabetes mellitus (DM) is one of the most common chronic illnesses in Saudi Arabia. This study aimed to document medication adherence in Saudi patients with type 2 diabetes. A quantitative cross-sectional study was conducted in Saudi out-patients with type 2 DM in the city of Khobar, Saudi Arabia. The study used the General Medication Adherence Scale (GMAS) to document medication adherence in this population. Data was analyzed through SPSS version 23. Study was ethically approved. Data was collected from 212 patients. Few patients (35.8%) had high adherence to anti diabetic medications. The correlation between Hb level and adherence score was negative and significantly strong (ρ = -0.413, p < 0.0001). Most patients (N = 126, 59.4%) modified their medication therapy during month of Ramadan and on Eid occassion. Education level was not a determinant of adherence in this population. This study highlighted that medication adherence is influenced by religious and social factors. Patient counseling is required to improve patient beliefs and increase awareness of adhering to prescribed anti diabetic pharmacotherapy. A pharmacist can play constructive role of a disease educator and patient counselor.

摘要

药物依从性的定义是按照医疗保健专业人员的建议和规定服用药物,并持续规定的时间。糖尿病(DM)是沙特阿拉伯最常见的慢性病之一。本研究旨在记录沙特2型糖尿病患者的药物依从性。在沙特阿拉伯胡拜尔市对2型糖尿病门诊患者进行了一项定量横断面研究。该研究使用一般药物依从性量表(GMAS)来记录该人群的药物依从性。通过SPSS 23版对数据进行分析。该研究获得了伦理批准。收集了212名患者的数据。很少有患者(35.8%)对降糖药物有高依从性。血红蛋白水平与依从性得分之间的相关性为负且显著强相关(ρ = -0.413,p < 0.0001)。大多数患者(N = 126,59.4%)在斋月期间和开斋节时改变了他们的药物治疗方案。在该人群中,教育水平不是依从性的决定因素。本研究强调药物依从性受宗教和社会因素影响。需要对患者进行咨询,以改善患者的信念,并提高对坚持规定的降糖药物治疗的认识。药剂师可以发挥疾病教育者和患者咨询者的建设性作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a22/6856211/347d983545da/fphar-10-01306-g001.jpg

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