自我报告的依从性是否能有效衡量印度农村地区糖尿病患者的血糖控制情况？一项横断面分析。
Is self-reported adherence a valid measure of glycaemic control among people living with diabetes in rural India? A cross-sectional analysis.
机构信息
Department of Community Health and Family Medicine, Bangalore Baptist Hospital, Bengaluru, India; Department of Clinical Research, ICMR- National Institute for Research in Tuberculosis, Chennai, India.
Division of Prevention Sciences, Department of Medicine, University of California, San Francisco, USA.
出版信息
Prim Care Diabetes. 2022 Dec;16(6):849-852. doi: 10.1016/j.pcd.2022.10.009. Epub 2022 Nov 3.
BACKGROUND
Visual analogue scale (VAS) is one of the simplest to measure medication adherence. It has neither been widely used for Non communicable diseases (NCD) nor validated for in the Indian setting. We examined the validity of self-reported medication adherence measures in relation to HbA1C in a rural population with diabetes mellitus (DM).
METHODS
Participants with DM was administered VAS, Diabetes Self-Management Questionnaire (DMSQ) and assessed for missed pills. Descriptive statistics and logistic regression analysis were done.
RESULTS
We recruited 1347 participants and 84% of them reported being 100% adherent as per VAS and 83.8% stated that they did not miss any pills. However, 58.2% of participants who reported having 100% adherence had poor glycaemic control, as did 58.1% of those who did not miss any pills. None of the diabetic self-care measures was significantly associated with glycaemic control.
CONCLUSION
We found a lack of association between self-reported adherence measures and glycaemic control in participants with DM suggesting that self-reported adherence scales may not be valid in this population.
背景
视觉模拟评分（VAS）是测量药物依从性的最简单方法之一。它尚未广泛用于非传染性疾病（NCD），也未在印度进行验证。我们在糖尿病（DM）的农村人群中检查了HbA1C 与自我报告的药物依从性测量之间的相关性。
方法
对 DM 患者进行 VAS、糖尿病自我管理问卷（DMSQ）和漏服药物评估。进行描述性统计和逻辑回归分析。
结果
我们招募了 1347 名参与者，其中 84%的参与者根据 VAS 报告 100%依从，83.8%的参与者表示他们没有漏服任何药物。然而，58.2%报告 100%依从的参与者血糖控制不佳，漏服任何药物的参与者也有 58.1%。没有任何糖尿病自我护理措施与血糖控制显著相关。
结论
我们发现 DM 患者自我报告的依从性测量与血糖控制之间缺乏关联，这表明自我报告的依从性量表在该人群中可能无效。
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