昆明医科大学学报2024，Vol.45Issue(3)：79-83,5.DOI:10.12259/j.issn.2095-610X.S20240312
昆明市2社区2型糖尿病慢病管理患者服药依从性对病情控制的影响
Influence of Medication Compliance of Type 2 Diabetes Chronic Disease Management Patients in Two Communities of Kunming on Disease Control
摘要
Abstract
Objective To analyze the influence of medication compliance of chronic type 2 diabetes management patients on disease control in two communities in Kunming.Methods A total of 138 patients with type 2 diabetes who were included in chronic disease management in Guandu and Xiaobanqiao communities of Kunming were selected from December 2021 to September 2022.Basic information collection and HbAlc and other related tests were improved.A questionnaire survey of 8-item Morisliy medication adherence scale(MMAS-8)was conducted to analyze the levels of HbAlc and other indexes of three groups with high(group A),medium(group B),and low(group C)adherence,and to conduct statistical analysis.Results Group A accounted for 22.5%,group B for 44.9%,and group C for 32.6%.There were significance differences in urinary albumin creatinine ratio(UACR),HbA1c and blood creatinine among the three groups(P<0.05).The levels of UACR,HbAlc and serum creatinine in group A were lower than those in group B and group C,and there was a negative correlation between UACR,HbAlc and serum creatinine and medication compliance rate(P<0.05).Conclusion In the Guandu Community and Xiaobanqiao community of Kunming,only 22.5%of patients with chronic type 2 diabetes had high medication compliance.The higher the compliance,the lower the level of UACR,HbAlc and serum creatinine,there is a correlation between the two,suggesting that medication compliance should be regarded as one of the key points in the management of chronic diabetes mellitus in the community,and the intervention of patients'medication compliance should be strengthened.关键词
昆明市/社区/2型糖尿病/服药依从性/尿白蛋白肌酐比/糖化血红蛋白/血肌酐Key words
Kunming City/The Community/Type 2 diabetes/Medication compliance/Urinary albumin creatinine ratio/Glycosylated hemoglobin/Blood creatinine分类
医药卫生引用本文复制引用
朱新琳,吴亚楠,孟琦,杨千紫,李元彪,陶俊衡,何孟阳..昆明市2社区2型糖尿病慢病管理患者服药依从性对病情控制的影响[J].昆明医科大学学报,2024,45(3):79-83,5.基金项目
云南省科技厅科技计划基金资助项目(202001AY070001-197) （202001AY070001-197）
