2型糖尿病药物依从性认知:健康信念模型的初步研究

Maria Nathalia Intan Istianti, Aris Widayati
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引用次数: 0

摘要

糖尿病是一种以血糖水平高于标准值为特征的疾病。糖尿病治疗的管理方法之一是药物治疗。用药是否符合说明书要求是2型糖尿病患者治疗成功的决定因素之一。本研究旨在探讨糖尿病患者对其药物依从性的认知。本研究采用定性访谈法。对巴厘岛登巴萨巴厘皇家医院20多例门诊2型糖尿病患者的服药依从性进行了调查。运用健康信念模型理论的六个构念。采用内容分析法对数据进行分析。结果发现,在感知易感性和感知严重性结构中,被调查者认为他们容易发生高血糖,如果他们不致力于使用降糖药物,他们的疾病会恶化。感知利益结构表明被调查者相信药物依从性可以保持他们的健康。受访者的感知障碍显示,他们的懒惰和忽视服药是障碍。他们强烈的健康意愿代表了行动线索结构,这将触发他们的药物依从性。最后,自我效能感建构暴露了被调查者对药物依从性的信心。被调查者对感知易感性、严重程度、益处、行为线索和自我效能感的信念有助于被调查者坚持使用降糖药。感知障碍,受访者认为是坚持使用抗糖尿病药物的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceptions of Adherence The Use of Type 2 Anti-Diabetic Drug: Preliminary Study With Health Belief Theory Model
Diabetes Mellitus (DM) is a disease characterized by blood sugar levels above the standard value. One of the DM therapy’s managemen is pharmacological therapy. The use of medicines that comply with the instructions of use is one of the determinant factors for therapy success in type 2 DM patients. This study aims to explore the perceptions of DM patients regarding their medication adherence. This research is a qualitative approachby interviewing respondents. The perceptions of medication adherence were explored among the 20’s outpatient type 2 DM patients at Bali Royal Hospital, Denpasar, Bali. The six constructs of the Health Belief Model theory were applied. Data were analyzed with a content analysis approach. The results found that regarding Perceived Susceptibility and Perceived Severity constructs, the respondents believed they would be susceptible to hyperglycemia, and their disease will worsen if they are not devoted to using antidiabetic medicines. Perceived Benefit construct shows that respondents believed in medication adherence in maintaining their health. Respondents' Perceived Barrier revealed that their laziness and disregarded in taking their medications are the obstacles. Their strong will to get healthy represents the Cues of Action construct that would trigger their medication adherence. Finally, the self-Efficacy construct exposed respondents' confidence regarding medication adherence. Respondents' beliefs on Perceived Susceptibility, Severity, Benefit, Cues of Actions and Self-Efficacy help respondents to adhere using antidiabetic medicines. Perceived Barrier which respondents believe provides an obstacle to adhering using antidiabetic medicines.
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