Psychosocial Factors Associated With Medication Burden Among Patients With Type 2 Diabetes Mellitus: A Cross-Sectional Study.

IF 3.6 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes Research Pub Date : 2025-05-29 eCollection Date: 2025-01-01 DOI:10.1155/jdr/8885209

Minh Hoang Le, Ngoc Diem Le, Thi Thuy Nhu Le, Minh Cuong Nguyen, Van De Tran

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Abstract

Background: Previous research has focused largely on sociodemographic, clinical, and medication-use characteristics, overlooking the critical role psychosocial factors may play in influencing the medication-related burden among patients with Type 2 diabetes mellitus. Objectives: The aim of this study was to explore the psychosocial factors associated with medication burden among patients with Type 2 diabetes mellitus. Methods: A cross-sectional study was performed on 261 patients with Type 2 diabetes from four community health stations in Can Tho, Vietnam. Linear regression models were used to identify demographic and health factors, as well as psychosocial factors, including medication self-efficacy, medication social support, satisfaction with medication treatments, depression, and medication beliefs that are related to medication burden. Results: The presence of dyslipidemia (β = 0.15, p = 0.002) and depression (β = 0.21, p < 0.001) and a stronger belief in the necessity of medication (β = 0.41, p < 0.001) were significantly associated with increased medication-related burden. Conversely, higher education (β = -0.16, p = 0.002), a greater number of family members (β = -0.25, p < 0.001), and higher medication self-efficacy (β = -0.21, p < 0.001) were significantly associated with a reduction in medication-related burden. Conclusion: Psychosocial factors were found to be associated with medication burden among patients with Type 2 diabetes. These findings highlight the importance of psychosocial factors in managing medication burden. Future interventions should focus on these factors to reduce the medication burden and improve the quality of life for patients with Type 2 diabetes.

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与2型糖尿病患者用药负担相关的社会心理因素：一项横断面研究

背景：以往的研究主要集中在社会人口学、临床和用药特征上，忽视了社会心理因素在影响2型糖尿病患者药物相关负担方面可能发挥的关键作用。目的：本研究的目的是探讨与2型糖尿病患者药物负担相关的社会心理因素。方法：对越南芹苴市4个社区卫生站的261例2型糖尿病患者进行横断面研究。采用线性回归模型确定与用药负担相关的人口统计学和健康因素以及心理社会因素，包括用药自我效能感、用药社会支持、用药治疗满意度、抑郁情绪和用药信念。结果：血脂异常（β = 0.15, p = 0.002）和抑郁（β = 0.21, p < 0.001）的存在以及对药物必要性的更强信念（β = 0.41, p < 0.001）与药物相关负担的增加显著相关。相反，高等教育（β = -0.16, p = 0.002）、较多的家庭成员（β = -0.25, p < 0.001）和较高的药物自我效能感（β = -0.21, p < 0.001）与药物相关负担的减轻显著相关。结论：社会心理因素与2型糖尿病患者用药负担有关。这些发现强调了心理社会因素在管理药物负担中的重要性。未来的干预措施应关注这些因素，以减轻2型糖尿病患者的用药负担，提高患者的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Diabetes Research ENDOCRINOLOGY & METABOLISM-MEDICINE, RESEARCH & EXPERIMENTAL

CiteScore

8.40

自引率

2.30%

发文量

152

审稿时长

14 weeks

期刊介绍： Journal of Diabetes Research is a peer-reviewed, Open Access journal that publishes research articles, review articles, and clinical studies related to type 1 and type 2 diabetes. The journal welcomes submissions focusing on the epidemiology, etiology, pathogenesis, management, and prevention of diabetes, as well as associated complications, such as diabetic retinopathy, neuropathy and nephropathy.