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成年2型糖尿病患者的疾病认知与药物依从性:一项范围综述

Illness Perception and Medication Adherence among Adult Patients with Type 2 Diabetes Mellitus: A Scoping Review.

作者信息

Alharbi Samaher, Alhofaian Aisha, Alaamri Marym M

机构信息

Department of Medical and Surgical Nursing, Faculty of Nursing, King Abdul Aziz University, P.O. Box 80209, Jeddah 21589, Saudi Arabia.

出版信息

Clin Pract. 2023 Jan 3;13(1):71-83. doi: 10.3390/clinpract13010007.

Abstract

(1) Background: Type 2 diabetes mellitus (T2DM) is a global disease with a compelling impact on developed and developing economies across the globe. The World Health Organization (WHO) (2020) reported a global prevalence of 8.5% in 2014 among adults aged at least 18 years. Consequently, the condition led to a 5% increase in premature mortality from 2000 to 2016. Aim: The scoping review sought to examine illness perception and medication adherence among adult patients with T2DM. (2) Methods: The study was conducted in 2021 and covered articles published in English in the last five years. PubMed, MEDLINE, CINAHL, and ScienceDirect were the primary search engines used to generate the required scholarly records. A total of 20 studies met the inclusion criteria. (3) Results: The 20 studies selected for the scoping review covered different themes on the overall concept of illness perception and medication adherence in adults with Type 2 Diabetes Mellitus. Each study presented unique implications for research and influence on the policymaking relating to the treatment or the management of type 2 diabetes mellitus in adults of different aged groups. (4) Conclusions: The studies reveal both high and low adherence to medications in adults with type 2 diabetes mellitus. The management and treatment of the condition depend on the uptake of oral hypoglycemic agents or insulin as well as the recommended therapies to enhance the clinical outcomes of the patients.

摘要

(1) 背景:2型糖尿病(T2DM)是一种全球性疾病,对全球发达和发展中经济体都产生了重大影响。世界卫生组织(WHO)(2020年)报告称,2014年全球18岁及以上成年人中T2DM患病率为8.5%。因此,从2000年到2016年,该疾病导致过早死亡率上升了5%。目的:本范围综述旨在研究成年T2DM患者的疾病认知和药物依从性。(2) 方法:该研究于2021年进行,涵盖过去五年以英文发表的文章。PubMed、MEDLINE、CINAHL和ScienceDirect是用于获取所需学术记录的主要搜索引擎。共有20项研究符合纳入标准。(3) 结果:为范围综述所选的20项研究涵盖了关于成年2型糖尿病患者疾病认知和药物依从性总体概念的不同主题。每项研究都对不同年龄组成年2型糖尿病治疗或管理的研究和政策制定产生了独特的影响。(4) 结论:研究表明成年2型糖尿病患者的药物依从性有高有低。该疾病的管理和治疗取决于口服降糖药或胰岛素的使用以及为提高患者临床结局而推荐的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d0/9844476/7cb1fa2e675f/clinpract-13-00007-g001.jpg

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