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2型糖尿病患者对其药物治疗的依从性。

Type 2 Diabetic Patients Adherence Towards Their Medications.

作者信息

Alshehri Khalid A, Altuwaylie Talal M, Alqhtani Ali, Albawab Albaraa A, Almalki Abdulrahman H

机构信息

Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Family Medicine, Ministry of National Guard Health Affairs, Jeddah, SAU.

出版信息

Cureus. 2020 Feb 10;12(2):e6932. doi: 10.7759/cureus.6932.

Abstract

Given that type 2 diabetes mellitus (T2DM) has become a common noncommunicable disease that can begin in early life and has a significant effect on the quality of life, it is important to address treatment adherence. While various factors contribute to the development of T2DM, the primary cause is linked to unhealthy eating and lack of physical activity. Adhering to healthy eating and physical exercise is not generally well tolerated by patients with diabetes, and pharmacological treatments are often necessary. However, few studies exist that assess T2DM treatment adherence in Saudi Arabia. Therefore, we conducted a cross-sectional analytic study at Al Iskan, Al Waha, and Bahrah Primary Health Care Centers, National Guard Health Affairs, Jeddah, Saudi Arabia, to assess the adherence among patients with T2DM via a self-completed questionnaire after participant verbal and written consent. A total of 387 patients with T2DM were surveyed: 269 were males (69.5%) and 118 were female patients (30.5%). According to our findings, 265 (68.5%) participants reported adherence toward their medications, and 122 (31.5%) were not adherent. The most common reason for nonadherence was forgetting to take their medication. Nonadherence is associated with poor outcomes and lower quality of life. Therefore, additional studies and awareness campaigns are needed to identify and address the various causes of nonadherence to prevent further complications and decrease the overall burden of the disease.

摘要

鉴于2型糖尿病(T2DM)已成为一种常见的非传染性疾病,可在早年发病并对生活质量产生重大影响,解决治疗依从性问题很重要。虽然多种因素促成了T2DM的发展,但其主要病因与不健康饮食和缺乏体育活动有关。糖尿病患者通常难以耐受坚持健康饮食和体育锻炼,往往需要药物治疗。然而,在沙特阿拉伯,评估T2DM治疗依从性的研究很少。因此,我们在沙特阿拉伯吉达国民警卫队卫生事务部的Al Iskan、Al Waha和Bahrah初级卫生保健中心进行了一项横断面分析研究,通过在参与者口头和书面同意后自行填写问卷来评估T2DM患者的依从性。共对387名T2DM患者进行了调查:269名男性(69.5%),118名女性患者(30.5%)。根据我们的研究结果,265名(68.5%)参与者报告坚持服药,122名(31.5%)未坚持服药。不坚持服药最常见的原因是忘记服药。不坚持服药与不良后果和较低的生活质量相关。因此,需要进行更多研究和开展宣传活动,以识别和解决不坚持服药的各种原因,预防进一步的并发症并减轻疾病的总体负担。

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