上埃及地区糖尿病患者的药物依从性与疾病认知。

IF 3.3 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Zeinab G Abdelhamid, Doaa Mazen Abdel-Salam, Ghada A Mohamed, Hosnia S Abd El-Megeed
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引用次数: 0

摘要

背景:有效的糖尿病管理取决于患者的药物依从性和疾病认知。本研究的主要目的是调查上埃及糖尿病患者的药物依从性和疾病感知及其相关性。方法:对2022年8月至2023年1月在上埃及糖尿病诊所就诊的糖尿病患者进行横断面研究。通过病人访谈收集数据。Morisky药物依从性量表用于评估药物依从性。疾病知觉采用简易疾病知觉问卷进行测量。为了确定药物依从性和疾病感知的预测因子,使用SPSS版本26进行逻辑回归。结果:在417名参与者中,30.2%的人对糖尿病药物的依从性较低。与糖尿病药物依从性低相关的预测因子是;性别(AOR = 1.93, CI: 1.12 ~ 3.34)、年龄(AOR = 0.40, CI: 0.19 ~ 0.87)、文化程度(AOR = 1.96, CI: 1.08 ~ 3.56)、糖尿病病程(AOR = 2.06, CI: 1.08 ~ 3.91)、糖尿病并发症(AOR = 3.69, CI: 1.73 ~ 7.89)、体重指数(AOR = 2.08, CI: 1.01 ~ 4.29)、最近6个月内接受健康教育(AOR = 2.02, CI: 1.21 ~ 3.36)、疾病认知(AOR = 6.70, CI: 3.62 ~ 12.40)。79.4%的参与者有较高的疾病知觉。高水平的疾病感知与居住地(AOR = 2.48, CI: 1.37 ~ 4.51)、是否存在其他合并症(AOR = 2.10, CI: 1.18 ~ 3.75)和药物价格(AOR = 2.53, CI: 1.07 ~ 5.99)显著相关。结论:30.2%的研究参与者对糖尿病药物的依从性较低。旨在加强糖尿病药物依从性的策略应该是强制性的。此外,目前的研究结果表明,糖尿病患者的疾病认知需要改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medication adherence and illness perception among diabetic patients in Upper Egypt.

Background: Effective diabetes management depends on medication adherence and the illness perception of patients. The primary aim of this study is to investigate medication adherence and illness perception and their correlates among diabetic patients in Upper Egypt.

Methods: A cross sectional study was carried out from August 2022 to January 2023 among diabetic patients attending Diabetes Clinic in Upper Egypt. Data was collected through patient interviews. Morisky Medication Adherence Scale has been used to assess medication adherence. Illness perception was measured by using Brief Illness Perception Questionnaire. To identify the predictors of medication adherence and illness perception, logistic regression was performed using SPSS version 26. P value < 0.05 was considered statistically significant.

Results: Out of 417 participants, 30.2% were low adherent to their diabetic medications. Predictors associated with low adherence to diabetic medications were; gender (AOR = 1.93, CI: 1.12-3.34), age (AOR = 0.40, CI: 0.19-0.87), education (AOR = 1.96, CI: 1.08-3.56), diabetes duration (AOR = 2.06, CI: 1.08-3.91), the presence of diabetes complications (AOR = 3.69, CI: 1.73-7.89), body mass index (AOR = 2.08, CI: 1.01-4.29), receiving health education in the last 6 months (AOR = 2.02, CI: 1.21-3.36), and illness perception (AOR = 6.70, CI: 3.62-12.40). A high level of illness perception was detected among 79.4% of the participants. High level of illness perception was significantly associated with residence (AOR = 2.48, CI: 1.37-4.51), presence of other comorbid conditions (AOR = 2.10, CI: 1.18-3.75), and price of medication (AOR = 2.53, CI: 1.07-5.99).

Conclusions: Low adherence to diabetic medications was detected among 30.2% of the studied participants. Strategies aimed at enhancing adherence to diabetic medications should be compulsory. Furthermore, the findings of the current study recommend that illness perceptions of diabetic patients need to be improved.

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来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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