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接受疾病对药物治疗依从性、代谢控制和糖尿病患者发生糖尿病足风险的影响之间的关系。

Association between effect of acceptance of illness and medication adherence, metabolic control, and risk of diabetic foot in individuals with diabetes.

机构信息

Bursa Uludag University, Faculty of Health Sciences, Department of Internal Medicine Nursing, Bursa, Turkey.

Bursa Uludag University, Health Care Practices and Research Hospital, Bursa, Turkey.

出版信息

Prim Care Diabetes. 2023 Aug;17(4):334-340. doi: 10.1016/j.pcd.2023.05.003. Epub 2023 May 14.

Abstract

AIMS

This study aimed to determine the association between the level of acceptance of illness and medication adherence, metabolic control, and risk of diabetic foot in patients with diabetes.

METHODS

This descriptive study was conducted with 298 patients with diabetes. The questionnaire comprised the demographic characteristics of the patients, Modified Morisky Scale and the Acceptance of Illness Scale. The study data were collected by the researchers through direct interviews using the questionnaire.

RESULTS

Acceptance of illness in patients with diabetes was statistically significantly higher in the group with a higher level of knowledge of medication adherence (p < 0.001). Moreover, the acceptance of illness had a statistically significant negative correlation with fasting plasma glucose (r = -0.198; p < 0.001) and glycated hemoglobin (r = -0.159; p = 0.006) levels in individuals with diabetes. Levels of acceptance of illness had a statistically significant association with the risk of diabetic foot (p < 0.01).

CONCLUSIONS

The study found that the level of acceptance of illness was associated with the level of knowledge about medication adherence, metabolic control, and risk of diabetic foot in individuals with diabetes. It may be recommended to conduct clinical trials to determine the effect of evaluating the level of acceptance of the illness on diabetes management and to increase this level.

摘要

目的

本研究旨在确定患者对疾病的接受程度与药物依从性、代谢控制和糖尿病足风险之间的关系。

方法

这是一项描述性研究,共纳入 298 例糖尿病患者。问卷包括患者的人口统计学特征、修正 Morisky 量表和疾病接受度量表。研究数据由研究人员通过使用问卷进行直接访谈收集。

结果

在药物依从性知识水平较高的患者中,对疾病的接受程度存在统计学显著差异(p<0.001)。此外,糖尿病患者的疾病接受度与空腹血糖(r=-0.198;p<0.001)和糖化血红蛋白(r=-0.159;p=0.006)水平呈统计学显著负相关。疾病接受度水平与糖尿病足风险存在统计学显著关联(p<0.01)。

结论

本研究发现,患者对疾病的接受程度与药物依从性、代谢控制和糖尿病足风险有关。建议开展临床试验,以确定评估疾病接受度水平对糖尿病管理的影响,并提高该水平。

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