【摘要】 目的:调查西藏高原地区2型糖尿病(T2DM)患者服药依从性情况。方法:2017年2月-2018年7月对西藏高原地区177例T2DM患者进行一般情况及中文版Morisky用药依从性问卷调查,并对服药不依从原因进行质性访谈。结果:本次调查中患者服药依从性较差,得分为(4.350±1.768)分。单因素分析中发现性别、职业、文化程度、民族、婚姻情况、病程、家庭收入、是否定期测血糖及是否可定期接受健康指导对服药依从性有影响(P<0.05)。将其引入最优尺度回归分析,婚姻情况、职业、病程对服药依从性的影响最大(P<0.05)。质性访谈结果也与调查结果相符。结论:需建立系统长期的糖尿病管理体系帮助高原地区2型糖尿病患者长期服药,重点关注家庭的支持、职业教育及病程长的患者,合理配置医疗资源。更多还原

【Abstract】 Objective:To know about the medicine-taking compliance of type 2 diabetes mellitus(T2 DM) patients in Tibet Platea.Method:A total of177 case of T2 DM in Tibet Platea were investigated by filling out questionnaire and interview,including health belief,T2 DM knowledge,Morisky’s medication compliance questionnaire.And the influence of each factors on medicine-taking compliance was analyzed by optimal scale regression analysis.Result:The average score in Morisky’s medication compliance questionnaire was(4.350±1.768)points.The medicine-taking compliance of T2 DM patients in Tibet Platea was correlated with gender,occupation,educational level,nationality,marital status,course of disease,family income,whether blood sugar was measured regularly and whether health guidance was available regularly(P<0.05).By introducing it into the optimal scale regression analysis,marital status,occupation and course of disease had the greatest impact(P<0.05).The results of interviews were also consistent with those of the questionnaire.Conclusion:It is necessary to establish a systematic and long-term diabetes management system to help patients with type 2 diabetes in T2 DM patients in Tibet Platea.Family support,vocational education and long-term patients should be strengthened.Medical resources should be reasonably allocated.更多还原