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印度南卡纳达地区老年糖尿病患者的药物依从性:一项横断面研究

Medication Adherence in Elderly Diabetic Patients: A Cross-Sectional Study From Dakshina Kannada, India.

作者信息

Udupa Hrushikesh, Viswanath Anusree, Umesh Shenoy Pooja, Antao Karen Jennifer, Das Ranajit

机构信息

Community Medicine, Yenepoya Medical College, Yenepoya (Deemed to be University), Mangalore, IND.

Data Analytics, Bioinformatics and Structural Biology (DABS), Yenepoya Research Centre, Yenepoya (Deemed to be University), Mangalore, IND.

出版信息

Cureus. 2023 Aug 7;15(8):e43098. doi: 10.7759/cureus.43098. eCollection 2023 Aug.

DOI:10.7759/cureus.43098
PMID:37692709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10483026/
Abstract

Diabetes Mellitus (DM) has emerged as a major global healthcare problem. The risk of diabetes can be reduced by maintaining blood glycaemic levels, which can be achieved by stringent adherence to the treatment regime. Therefore, there is a continuing need to assess the level of adherence to medication/self-care activities and the factors that are related to non-adherence to medication and self-care. This would facilitate healthcare professionals to identify subjects with low medication adherence and thereby aid them in planning interventions to improve medication and self-care adherence. In this study, we aimed to estimate the proportion of medication adherence among diabetic patients above 60 years of age attending a tertiary care hospital in Southern India. We found that 72% of type 2 diabetes patients were adherent to the medications prescribed to them and there was a discernible effect of gender and literacy on medication adherence. However, more such regional studies need to be conducted with a larger sample size from diverse hospital setups to obtain a clear and unbiased picture of the drug adherence scenario in India.

摘要

糖尿病已成为一个主要的全球医疗保健问题。通过维持血糖水平可以降低糖尿病风险,而这可以通过严格遵守治疗方案来实现。因此,持续需要评估药物治疗/自我护理活动的依从水平以及与不坚持药物治疗和自我护理相关的因素。这将有助于医疗保健专业人员识别药物依从性低的患者,从而帮助他们规划干预措施以提高药物治疗和自我护理的依从性。在本研究中,我们旨在估计在印度南部一家三级护理医院就诊的60岁以上糖尿病患者的药物依从比例。我们发现,72%的2型糖尿病患者坚持服用为他们开的药物,并且性别和识字水平对药物依从性有明显影响。然而,需要从不同医院环境中抽取更大样本量进行更多此类区域研究,以获得印度药物依从情况的清晰且无偏差的图景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/972a/10483026/86d2e9a57b06/cureus-0015-00000043098-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/972a/10483026/88de46bc2dbb/cureus-0015-00000043098-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/972a/10483026/86d2e9a57b06/cureus-0015-00000043098-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/972a/10483026/88de46bc2dbb/cureus-0015-00000043098-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/972a/10483026/86d2e9a57b06/cureus-0015-00000043098-i02.jpg

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本文引用的文献

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Updated BG Prasad's classification for the year 2022.2022年更新的BG·普拉萨德分类法。
J Family Med Prim Care. 2023 Jan;12(1):189-190. doi: 10.4103/jfmpc.jfmpc_1478_22. Epub 2023 Feb 15.
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Adherence to Diabetes Medications and Health Care Use During the COVID-19 Pandemic Among High-Risk Patients.新冠疫情期间高危患者对糖尿病药物的依从性及医疗保健利用情况
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Medication Adherence and Contributing Factors Among Type 2 Diabetes Patients at Adama Hospital Medical College in Eastern Ethiopia.
埃塞俄比亚东部阿达马医院医学院2型糖尿病患者的药物依从性及其影响因素
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Anti-Hyperglycemic Medication Adherence and Health Services Utilization in People with Diabetes: A Longitudinal Study of Alberta's Tomorrow Project.糖尿病患者的降糖药物依从性与医疗服务利用:艾伯塔省明日项目的纵向研究
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Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes: A meta-analysis.远程医疗对2型糖尿病患者血糖控制的疗效:一项荟萃分析。
World J Diabetes. 2021 Feb 15;12(2):170-197. doi: 10.4239/wjd.v12.i2.170.
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Influential factors in adherence to the therapeutic regime in patients with type 2 diabetes and hypertension.2型糖尿病合并高血压患者治疗方案依从性的影响因素
Diabetes Res Clin Pract. 2021 Mar;173:108693. doi: 10.1016/j.diabres.2021.108693. Epub 2021 Feb 13.
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Association Between Medication Adherence and Healthcare Costs Among Patients Receiving the Low-Income Subsidy.接受低收入补贴的患者药物依从性与医疗保健费用的关系。
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