患者对糖尿病和药物的看法和知识:埃塞俄比亚北部 2 型糖尿病患者坚持用药和血糖控制的影响。

IF 3.6 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Journal of Diabetes Research Pub Date : 2024-11-08 eCollection Date: 2024-01-01 DOI:10.1155/2024/3652855
Fikadu Hadush, Gebremedhin Beedemariam, Mesfin Haile Kahissay, Shivani A Patel, Bruck Messele Habte
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引用次数: 0

摘要

在全球范围内,2 型糖尿病(T2DM)患者的服药依从性仍然不尽如人意。然而,埃塞俄比亚北部地区对这一问题的了解十分有限。这项在阿拉马塔综合医院进行的横断面研究调查了患者的用药观念、糖尿病知识、依从性和血糖控制之间的相互作用。数据收集采用结构化问卷和病历审查,分析采用描述性和推论性统计。在 305 名 T2DM 患者中,普遍存在用药依从性差(44.6%)和血糖控制不理想(75.7%)的情况。确诊时间超过十年的患者不坚持用药的调整赔率(AOR)为 3.87,而高度关注药物副作用的患者不坚持用药的风险高出 20.63 倍(AOR = 20.63)。对疾病认识不足会使不坚持服药的风险增加 4.54 倍(AOR = 4.54),而坚信药物治疗的必要性则具有保护作用(AOR = 0.21)。血糖控制不佳与教育背景、糖尿病认知、月收入和治疗方式有关。埃塞俄比亚北部急需量身定制的糖尿病教育计划,以应对T2DM患者服药依从性差(AOR = 3.87)和血糖控制率低的问题。要改善这一人群的治疗效果,必须采取有针对性的干预措施,强调增强知识和强化积极的信念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patients' Perceptions and Knowledge of Diabetes and Medications: Implications for Medication Adherence and Glycemic Control in Type 2 Diabetes Patients, Northern Ethiopia.

Globally, adherence to Type 2 diabetes mellitus (T2DM) medications remains suboptimal. There are limited insights, however, on this issue in the northern region of Ethiopia. This cross-sectional study at Alamata General Hospital investigated the interplay between patients' medication beliefs, diabetes knowledge, adherence, and glycemic control. Data collection was done using structured questionnaires and chart reviews, while descriptive and inferential statistics were for the analysis. Among 305 T2DM patients, poor medication adherence was prevalent (44.6%), alongside suboptimal glycemic control (75.7%). Patients diagnosed for over a decade had an adjusted odds ratio (AOR) of 3.87 for nonadherence, while high concern about medication side effects was associated with a 20.63-fold higher nonadherence risk (AOR = 20.63). Low disease awareness increased nonadherence risk by 4.54 times (AOR = 4.54), while a strong belief in medication necessity was protective (AOR = 0.21). Poor glycemic control was associated with educational background, diabetes awareness, monthly income, and treatment modality. Urgently needed are tailored diabetes education programs in Northern Ethiopia to counteract high rates of poor medication adherence (AOR = 3.87) and glycemic control among T2DM patients. Targeted interventions, emphasizing knowledge enhancement and reinforcing positive beliefs, are essential for improving outcomes in this population.

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来源期刊
Journal of Diabetes Research
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.
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