中国全科医学2017，Vol.20Issue(34)：4315-4321,7.DOI:10.3969/j.issn.1007-9572.2017.34.020
江苏省农村不同地区糖尿病患者相关知识知晓情况与治疗依从性调查
Awareness Level of Diabetes - related Knowledge and Treatment Compliance in Diabetic Patients:a Case Study from Different Rural Areas in Jiangsu Province
摘要
Abstract
Objective To investigate the awareness level of diabetes - related knowledge and treatment compliance, and associated factors in diabetic patients in different rural areas in Jiangsu Province,so as to provide a reference for the enaction and formulation of strategies about county - township - village - based cooperative management of diabetes in rural areas in China. Methods This cross - sectional study was conducted between July and November 2015. The process for participant enrollment was summarized as follows:Using typical sampling,3 representative counties (one from each district)were sampled from southern,central and northern Jiangsu Province,from which,22 townships (6 - 8 from each county)were randomly selected. After that,from the above townships,76 villages (3 - 4 from each township)were randomly chosen,from which,by systematic sampling,1925 participants were sampled based on the inclusion and exclusion criteria. They were surveyed by a self- developed questionnaire consisting of questions about demographic data,knowledge related to diabetes,and treatment compliance. The survey achieved a response rate of 93. 1％ (1792 / 1925). Results The overall rate of awareness of diabetes- related knowledge was 61. 3％ (1098 / 1792). From the district perspective,the rate of diabetes - related knowledge was 57. 1％ (364 / 637 ),64. 7％ (334 / 516 ),62. 6％ (400 / 639 ) for southern,central and northern Jiangsu Province, respectively. The rates of awareness of the diagnostic criteria for diabetes based on fasting blood glucose (FBG)level,risk factors for diabetes (obesity,family history of diabetes,smoking and alcohol consumption),glycemic control associated factors (regular measurement of FBG level,sparingly eating high - fat and high - sugar foods),blindness due to diabetes,continuing receiving the drug treatment when the FBG level is kept stable differed significantly between the participants in the 3 districts (P< 0. 05). The rate of diabetes - related knowledge significantly varied by sex,age,marital status,educational attainment, occupation,types of medical insurance and district (P < 0. 05). Sex,marital status and educational attainment were identified as the associated factors for the awareness level of diabetes - related knowledge by multivariate Logistic regression analysis (P <0. 05). The totaled participants with good medication compliance were 1623,accounting for 90. 6％ of the 1792 cases. From the district perspective,the number of participants with good medication compliance were 601 (94. 3％),492 (95. 3％),530 (82. 9％)in southern,central and northern Jiangsu Province,respectively. Medication compliance obviously varied by age, occupation,district and awareness level of diabetes - related knowledge (P < 0. 05). Multivariate Logistic regression analysis showed that,district and awareness level of diabetes - related knowledge were found to be the associated factors for medication compliance (P < 0. 05). The major factors leading to poor medication compliance were " no need to take any medicine based on self - perceived alleviated symptoms" 〔51. 5％ (86 / 167)〕," no time or forgetting to take medicines" 〔36. 5％ (61 / 167)〕, and " concerning the side effects due to long - term medication" 〔7. 2％ (12 / 167 )〕. Conclusion District - specific differences exist in the rate of awareness of diabetes - related knowledge and treatment compliance in diabetic patients in rural areas of Jiangsu Province. Sex,marital status and educational attainment are the associated factors for the rate of awareness of diabetes - related knowledge. District and the rate of awareness of diabetes - related knowledge are the associated factors for treatment compliance. Therefore,it is suggested that every district should build a vertical county - township - village - based cooperative management team for the improvement of the above two aspects in these patients.关键词
糖尿病/认知/服药依从性/影响因素分析Key words
Diabetes mellitus/Cognition/Medication adherence/Root cause analysis分类
医药卫生引用本文复制引用
刘雪仪,魏明杰,钱东福..江苏省农村不同地区糖尿病患者相关知识知晓情况与治疗依从性调查[J].中国全科医学,2017,20(34):4315-4321,7.基金项目
国家自然科学基金资助项目(71473130)——基于综合激励模型的农村慢性病卫生服务纵向整合策略研究 （71473130）
