| 王燕.精神障碍合并糖尿病患者的服药依从性和血糖控制情况现状研究[J].实用中西医结合临床,2023,23(5): |
| 精神障碍合并糖尿病患者的服药依从性和血糖控制情况现状研究 |
| The research of medication compliance and blood glucose control of patients with mental disorder complicated with diabetes |
| 投稿时间：2023-02-10 修订日期：2023-02-28 |
| DOI： |
| 中文关键词: 精神障碍 糖尿病 服药依从性 血糖控制 |
| 英文关键词: Mental disorder diabetes medication compliance blood glucose control |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨精神障碍合并糖尿病患者的服药依从性和血糖控制情况现状，为提高精神障碍合并糖尿病患者行为干预及血糖控制提供临床依据。方法：选取2021年1月~2022年6月我院收治的精神障碍合并糖尿病患者148例为研究对象，所有患者临床资料完整。以8条目Morisky用药依从性量表(MMAS-8)调查所有患者服药依从性并分组，MMAS-8评分<6分的患者依从性差组，MMAS-8评分6~8分的患者依从性好组；通过抽取静脉血检测患者FBG、PBG、HbA1c，比较两组患者血糖控制状况及血糖控制达标率。结果：在纳入研究的148例研究对象中，依从性较差组患者61例（41.22%），依从性较好组患者87例（58.78%），依从性较好组MMAS-8评分明显高于依从性较差组，P＜0.05，差异具有统计学意义；依从性较好组患者FBG、PBG、HbA1c水平显著低于依从性较差组，且依从较好组血糖控制达标率（74.71%）明显高于依从性较差组（37.70%），P＜0.05，差异具有统计学意义。单因素logistic回归分析显示服药依从性（OR=0.638，95%Cl（0.422~0.915））是影响精神障碍合并糖尿病患者血糖控制达标率的独立危险因素。结论：精神障碍合并糖尿病患者服药依从性有待提高，服药依从性与患者血糖控制达标率密切相关，应该采取针对性措施让患者规律用药，延缓患者糖尿病病情进展。 |
| 英文摘要: |
| Objective To explore the current situation of medication compliance and blood glucose control in patients with mental disorders and diabetes, so as to provide clinical basis for improving behavioral intervention and blood glucose control in patients with mental disorders and diabetes.Methods 148 patients with mental disorder complicated with diabetes admitted to our hospital from January 2021 to June 2022 were selected as the research object, and the clinical data of all patients were complete.All patients" medication compliance was investigated with the MMAS-8 and divided into two groups: those with MMAS-8 score less than 6 points and those with MMAS-8 score 6-8 points with good compliance.FBG, PBG and HbA1c were detected by taking venous blood, and the blood glucose control status and the blood glucose control compliance rate of the two groups were compared. Results Among the 148 subjects included in the study, there were 61 patients (41.22%) in the poor compliance group and 87 patients (58.78%) in the good compliance group. The MMAS-8 score in the good compliance group was significantly higher than that in the poor compliance group, P < 0.05, and the difference was statistically significant.The levels of FBG, PBG and HbA1c in patients with good compliance were significantly lower than those in patients with poor compliance, and the blood sugar control compliance rate in patients with good compliance (74.71%) was significantly higher than that in patients with poor compliance (37.70%), with a statistical difference (P < 0.05). The univariate logistic regression analysis showed that medication compliance (OR=0.638, 95%Cl(0.422~0.915)) was an independent risk factor affecting the compliance rate of blood glucose control in patients with mental disorder complicated with diabetes. Conclusions The medication compliance of patients with mental disorder complicated with diabetes needs to be improved, which is closely related to the compliance rate of blood sugar control. Targeted measures should be taken to make patients use drugs regularly to delay the progression of patients" diabetes disease. |
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