Endocrinology Division, Department of Internal Medicine, University Hospital "Dr. José E. González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Endocrinology Division, Department of Internal Medicine, University Hospital "Dr. José E. González", Universidad Autónoma de Nuevo León, Monterrey, Mexico; Plataforma INVEST Medicina UANL KER Unit Mayo Clinic (KER Unit Mexico), Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Prim Care Diabetes. 2022 Aug;16(4):568-573. doi: 10.1016/j.pcd.2022.04.002. Epub 2022 Apr 21.
Address treatment burden and general perceptions of pharmacological treatment in patients with diabetes.
We surveyed adult patients with diabetes cared for in a tertiary academic medical center about: i) knowledge about the impact of glucose-lowering medication use on diabetes control and complications, ii) common beliefs about natural medicine and insulin use, iii) attitudes towards glucose-lowering medications, iv) burden of treatment, v) general knowledge of diabetes pharmacological treatment, and vi) perceptions of shared decision-making.
Two hundred-four participants completed the survey. While most (90%) agreed that adherence to medication would control diabetes and improve quality of life, 30-40% were not certain that it would translate to fewer disease complications. About one of three thought medications could be harmful (29.4%). Over 50% agreed or was unsure that natural remedies were as good/better than prescribed medications. About 30% acknowledged difficulties taking their diabetes medications and monitoring blood glucose, and over 50% were concerned about treatment costs. Nearly 30% denied receiving a detailed explanation from their clinician regarding their disease and is treatment.
Our results highlight the importance of patient education regarding pharmacological treatment for diabetes, and eliciting sources of distress and treatment burden among patients with diabetes.
探讨糖尿病患者的治疗负担和对药物治疗的总体看法。
我们调查了在一所三级学术医学中心接受治疗的成年糖尿病患者，了解他们：i）对降糖药物使用对糖尿病控制和并发症影响的了解，ii）对天然药物和胰岛素使用的常见看法，iii）对降糖药物的态度，iv）治疗负担，v）对糖尿病药物治疗的一般认识，以及 vi）对共同决策的看法。
204 名参与者完成了调查。虽然大多数（90%）人认为坚持服药可以控制糖尿病并提高生活质量，但 30-40%的人不确定这是否会减少疾病并发症。约三分之一的人认为药物可能有害（29.4%）。超过 50%的人同意或不确定天然疗法是否与处方药物一样好/更好。约 30%的人承认服用糖尿病药物和监测血糖有困难，超过 50%的人担心治疗费用。近 30%的人否认从他们的临床医生那里得到关于他们的疾病和治疗的详细解释。
我们的结果强调了对糖尿病患者进行药物治疗教育的重要性，以及了解糖尿病患者的痛苦来源和治疗负担。
