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中国广东2型糖尿病患者的用药知识水平与信念之间的关系

Relationship Between Medication Literacy and Beliefs Among Persons with Type 2 Diabetes Mellitus in Guangdong, China.

作者信息

Jiang Sifen, Zhu Zhuoqi, Liao Guisheng, Huang Yanling, Li Lichang, Zeng Kun

机构信息

School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People's Republic of China.

School of Public Health, Guangxi Medical University, Guangxi, People's Republic of China.

出版信息

Patient Prefer Adherence. 2023 Aug 18;17:2039-2050. doi: 10.2147/PPA.S420383. eCollection 2023.

Abstract

PURPOSE

To establish the relationship between medication literacy and medication beliefs among persons with type 2 diabetes mellitus (T2DM).

PATIENTS AND METHODS

A cross-sectional survey of 246 patients with T2DM was conducted between April and November 2022 at a tertiary hospital in Dongguan City, Guangdong Province, China. Subsequently, these patients were administered the General Information Questionnaire, the Chinese version of Medication Literacy Assessment Scale, and the Chinese version of Beliefs about Medicines Questionnaire-Specific via survey.

RESULTS

The medication literacy score of patients with T2DM was 7.82±3.007, and the medication beliefs score was 2.26±4.011. The Pearson correlation analysis revealed a statistically significant but weakly positive correlation ( = 0.271, < 0.001) between medication literacy and beliefs among patients diagnosed with T2DM. However, there was no significant correlation found between medication literacy and necessity ( = -0.021, > 0.05), while a lowly negative correlation was observed between medication literacy and concerns ( = -0.307, < 0.001). Moreover, the multiple linear regression analysis indicated that medication literacy, age, education level, and duration of medication usage were all significant factors influencing patients' medication beliefs (all < 0.05). Together, these variables accounted for 15.3% of the total variance observed in the regression equation.

CONCLUSION

The study found a positive correlation between medication literacy and beliefs, and a negative correlation between medication literacy and concerns. These results indicate that enhancing medication literacy can improve medication adherence among individuals with T2DM by reducing concerns and strengthening medication beliefs.

摘要

目的

建立2型糖尿病(T2DM)患者的用药知识水平与用药信念之间的关系。

患者与方法

2022年4月至11月期间,在中国广东省东莞市的一家三级医院对246例T2DM患者进行了横断面调查。随后,通过问卷调查的方式,让这些患者填写一般信息问卷、中文版用药知识水平评估量表以及中文版特定药物信念问卷。

结果

T2DM患者的用药知识水平得分为7.82±3.007,用药信念得分为2.26±4.011。Pearson相关性分析显示,在确诊为T2DM的患者中,用药知识水平与信念之间存在统计学上显著但较弱的正相关(r = 0.271,P < 0.001)。然而,用药知识水平与必要性之间未发现显著相关性(r = -0.021,P > 0.05),而用药知识水平与担忧之间观察到低度负相关(r = -0.307,P < 0.001)。此外,多元线性回归分析表明,用药知识水平、年龄、教育程度和用药时间均为影响患者用药信念的显著因素(均P < 0.05)。这些变量共同解释了回归方程中观察到的总方差的15.3%。

结论

该研究发现用药知识水平与信念之间呈正相关,与担忧之间呈负相关。这些结果表明,提高用药知识水平可以通过减少担忧和增强用药信念来提高T2DM患者的用药依从性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a22/10443688/9b4a041d594e/PPA-17-2039-g0001.jpg

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