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评价糖尿病足感染患者对口服抗生素治疗的依从性。

Evaluation of Adherence to the Oral Antibiotic Treatment in Patients With Diabetic Foot Infection.

机构信息

Universidad Complutense de Madrid. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.

出版信息

Int J Low Extrem Wounds. 2024 Sep;23(3):397-402. doi: 10.1177/15347346211057342. Epub 2021 Nov 15.

Abstract

The knowledge about level of adherence to oral antibiotic treatment in diabetic patients with ulcer infection could be essential as a method of evaluation/monitoring of conservative treatment. To assess the adherence to oral antibiotic treatment in outpatients with diabetic foot infection (soft tissue vs. osteomyelitis) by 8-item structured, self-reported medication adherence scale. cross-sectional study was carried out with 46 consecutive patients who had diabetic foot infection (soft tissue or bone infection) and required antibiotic oral treatment at outpatient clinical setting. Medication adherence was tested using the Spanish version of the validated eight-item self-report MMAS-8. patients with diabetic ulcer infection, had well level of adherence to antibiotic medication (7   ±   1.2 vs. 7.4   ±   1.5). Patients with lower level of adherence had lower level of satisfaction with the antibiotic medication. The profile of the patients with lower level of adherence were patients with primary level of education and patient who required more help to take the medication. Patients with diabetic foot infection demonstrated well level of adherence to antibiotic medication, independently of type of infection (soft tissue vs. osteomyelitis) by 8-item structured, self-reported medication adherence scale.

摘要

关于糖尿病患者溃疡感染中口服抗生素治疗依从性水平的知识可能是评估/监测保守治疗的一种方法。 采用 8 项结构化、自我报告的药物依从性量表评估门诊糖尿病足感染(软组织与骨髓炎)患者的口服抗生素治疗依从性。 这是一项横断面研究,纳入了 46 例连续就诊的糖尿病足感染(软组织或骨感染)且需要门诊口服抗生素治疗的患者。 采用经过验证的西班牙版 8 项自我报告 MMAS-8 评估药物依从性。 结果显示,患有糖尿病溃疡感染的患者对抗生素药物的依从性良好(7   ±   1.2 与 7.4   ±   1.5)。 依从性较低的患者对抗生素药物的满意度较低。 依从性较低的患者特征为具有初级教育水平和需要更多帮助才能服药的患者。 采用 8 项结构化、自我报告的药物依从性量表评估,患有糖尿病足感染的患者对抗生素药物的依从性良好,与感染类型(软组织与骨髓炎)无关。

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