社会心理因素对 2 型糖尿病患者治疗依从性的影响：系统评价和荟萃分析。
Socio-personal factors affecting adherence to treatment in patients with type 2 diabetes: A systematic review and meta-analysis.
机构信息
Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
出版信息
Prim Care Diabetes. 2023 Jun;17(3):205-220. doi: 10.1016/j.pcd.2023.03.005. Epub 2023 Apr 1.
PURPOSE
The purpose of study was to identify the socio-personal factors affecting adherence to the treatment of patients with type 2 diabetes.
METHODS
Cross-sectional articles were extracted from databases such as Web of Science, PubMed, Elsevier. A meta-analysis was performed using integrated odds ratios (OR) and 95% confidence interval (CIs) for age, BMI, depression, educational level, gender, employment status, marital status, smoking status. STATA 12.0 was used to estimate pooled RR in definite subgroups. The quality of the studies included was evaluated using the STROBE checklist.
RESULTS
Thirty-one studies out of 7407 extracted articles were finally selected for the meta-analysis. The results showed that younger people had a 17% higher risk than older people, smokers had a 22% higher risk than non-smokers, and the employed had a 15% higher risk of non-adherence to treatment.
CONCLUSION
In conclusion, older age, smoking and employment can lead to non-adherence to T2D treatment. Interventions are suggested to be made besides common health care considering the socio-personal features on type 2 diabetes patients' treatment adherence.
目的
本研究旨在确定影响 2 型糖尿病患者治疗依从性的社会心理因素。
方法
从 Web of Science、PubMed、Elsevier 等数据库中提取横断面文章。使用整合优势比（OR）和 95%置信区间（CI）对年龄、BMI、抑郁、教育水平、性别、就业状况、婚姻状况和吸烟状况进行荟萃分析。使用 STATA 12.0 估计明确亚组中的汇总 RR。使用 STROBE 清单评估纳入研究的质量。
结果
从 7407 篇提取文章中最终选择了 31 篇进行荟萃分析。结果表明，年轻人比老年人的风险高 17%，吸烟者比不吸烟者的风险高 22%，而就业者的治疗不依从风险高 15%。
结论
总之，年龄较大、吸烟和就业可能导致 2 型糖尿病治疗不依从。建议在进行常规医疗保健的同时，针对 2 型糖尿病患者的治疗依从性的社会心理特征进行干预。
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