【摘要】：目的了解江蘇省農(nóng)村不同地區(qū)糖尿病患者的相關(guān)知識(shí)知曉情況和治療依從性,并探討其影響因素,從而為探索農(nóng)村糖尿病縣鄉(xiāng)村協(xié)作管理策略提供依據(jù)。方法采用典型抽樣法,在蘇南、蘇中、蘇北地區(qū)各選取1個(gè)樣本縣;在每個(gè)樣本縣中隨機(jī)抽取6~8個(gè)鄉(xiāng)鎮(zhèn),共22個(gè)鄉(xiāng)鎮(zhèn);在每個(gè)鄉(xiāng)鎮(zhèn)中隨機(jī)抽取3~4個(gè)村,共76個(gè)村;最后采用系統(tǒng)抽樣法,抽取每個(gè)樣本村中符合納入和排除標(biāo)準(zhǔn)的糖尿病患者共1 925例作為調(diào)查對(duì)象。于2015年7—11月,采用自行設(shè)計(jì)的調(diào)查問卷進(jìn)行調(diào)查。問卷主要內(nèi)容有:糖尿病患者的基本情況、糖尿病相關(guān)知識(shí)知曉情況、治療依從性情況等。共發(fā)放問卷1 925份,回收有效問卷1 792份,問卷的有效回收率為93.1%。結(jié)果 1 792例患者中,糖尿病相關(guān)知識(shí)的知曉率為61.3%(1 098/1 792),其中蘇南地區(qū)為57.1%(364/637),蘇中地區(qū)為64.7%(334/516),蘇北地區(qū)為62.6%(400/639)。蘇南、蘇中、蘇北3個(gè)地區(qū)糖尿病患者對(duì)糖尿病空腹血糖診斷標(biāo)準(zhǔn)、危險(xiǎn)因素(肥胖、家族史、吸煙飲酒)、血糖控制因素(定期監(jiān)測(cè)血糖、高油高糖食物)、是否導(dǎo)致失明、血糖穩(wěn)定時(shí)是否繼續(xù)服藥的知曉率比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。不同性別、年齡、婚姻狀況、文化程度、職業(yè)、參加醫(yī)保的形式及地區(qū)的糖尿病患者的糖尿病相關(guān)知識(shí)知曉率比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。多因素Logistic回歸分析顯示,性別、婚姻狀況、文化程度是糖尿病患者糖尿病相關(guān)知識(shí)知曉情況的影響因素(P0.05)。1 792例糖尿病患者中,服藥依從性好者共1 623例(90.6%),其中蘇南、蘇中、蘇北地區(qū)分別為601例(94.3%)、492例(95.3%)、530例(82.9%)。不同年齡、職業(yè)、地區(qū)及糖尿病相關(guān)知識(shí)知曉情況的糖尿病患者服藥依從性比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。多因素Logistic回歸分析顯示,地區(qū)和糖尿病相關(guān)知識(shí)知曉情況是糖尿病患者服藥依從性的影響因素(P0.05)。服藥依從性差的主要原因有:感覺癥狀減輕沒必要服藥(51.5%,86/167)、沒有時(shí)間或忘記服藥(36.5%,61/167)、擔(dān)心長期服藥的副作用(7.2%,12/167)。結(jié)論江蘇省農(nóng)村不同地區(qū)糖尿病患者的糖尿病相關(guān)知識(shí)知曉情況及治療依從性有差異,性別、婚姻狀況、文化程度是糖尿病患者糖尿病相關(guān)知識(shí)知曉情況的影響因素,地區(qū)和糖尿病相關(guān)知識(shí)知曉情況是糖尿病患者服藥依從性的影響因素。不同地區(qū)應(yīng)根據(jù)管理現(xiàn)狀,組建縣鄉(xiāng)村糖尿病縱向協(xié)作團(tuán)隊(duì),以改善患者相關(guān)知識(shí)知曉情況和治療依從性。
[Abstract]:Objective to understand the knowledge and treatment compliance of diabetic patients in different rural areas of Jiangsu Province, and to explore its influencing factors, so as to provide evidence for exploring rural cooperative management strategies in rural diabetic counties. Methods typical sampling method was used to select 1 sample county in southern Jiangsu, central Jiangsu and northern Jiangsu. 6 villages and 8 villages were randomly selected from each sample county, 22 villages and towns were randomly selected, and 3 villages and 4 villages were randomly selected from each township, with a total of 76 villages. Finally, a total of 1925 diabetic patients who met the criteria of inclusion and exclusion in each sample village were selected as the subjects of investigation. From July to November 2015, a self-designed questionnaire was used to investigate. The main contents of the questionnaire are: the basic situation of diabetic patients, diabetes related knowledge, treatment compliance and so on. A total of 1925 questionnaires were sent out and 1792 valid questionnaires were recovered. The effective recovery rate of the questionnaires was 93.1%. Results among the 1792 patients, the awareness rate of diabetes related knowledge was 61.3% (1,098 鈮，

本文編號(hào)：2508998