2 型糖尿病患者坚持治疗的情况

Riyan Mulfianda, Nanda Desreza, Khaira Rizki, Rizky Azhari Syam, Rauza Alda, Rizka Dara Vonna
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The statistical analysis used is logistic regression.Results: Showed that the determinants related to medication adherence were age p-value (0.019), education p-value (0.039), Income p-value (0.006), Health Examination p-value (0.034), Blood Sugar Check p-value (0.005), DM knowledge p-value (0.000), and Social Support p-value (0.003), while work p-value (0.136), Length of Suffering from DM p-value (0.399), Use of insulin p-value (0.504), Number of Diseases p-value (0.409), Comorbid p-value (0.583), emotional p-value (0.561) there is no relationship. The most dominant determinant related to medication adherence was the knowledge variable p-value (0.000) with an odds ratio of 0.150 (95% CI: 057-391Conclusion: The most significant determinant of medication adherence is knowledge, so it is recommended to provide continuous and comprehensive updated information about the management of DM, one of which is the diabetes self-management education (DSME) method. 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摘要

背景:糖尿病(DM)是一种慢性疾病,通常被称为具有慢性并发症的终身疾病。通过坚持用药来有效管理药物治疗,可以降低糖尿病并发症的风险。糖尿病患者的用药依从性受到各种决定因素的影响,这些因素描述了患者在多大程度上按照医疗服务提供者的建议服药、遵守饮食和改变生活方式。方法:本研究采用横断面定量研究方法。样本为 97 名糖尿病患者。统计分析采用逻辑回归法:结果显示,与服药依从性相关的决定因素有年龄 p-值(0.019)、教育 p-值(0.039)、收入 p-值(0.006)、健康检查 p-值(0.034)、血糖检查 p-值(0.005)、DM 知识 p-值(0.000)、社会支持 p-值(0.003),而工作 p-值(0.136)、患 DM 的时间长短 p-值(0.399)、使用胰岛素 p-值(0.504)、疾病数量 p-值(0.409)、合并症 p-值(0.583)、情绪 p-值(0.561)则没有关系。与坚持用药相关的最主要决定因素是知识变量 p 值(0.000),其几率比为 0.150(95% CI:057-391):糖尿病自我管理教育(DSME)方法是其中之一。糖尿病自我管理教育方法可通过对 2 型糖尿病患者进行家访的方式进行。
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Treatment adherence in patients with diabetes mellitus type 2
Background: Diabetes Mellitus (DM) is a chronic disease often referred to as a lifelong disease with chronic complications. The risk of complications of diabetes mellitus can be reduced by effective management of medication therapy by implementing medication adherence. Medication compliance in diabetes mellitus is influenced by various determinants that describe the extent to which the patient's behavior is to comply with taking medication, following a diet, and implementing lifestyle changes per the recommendations recommended by health care providers.Purpose: to analyze the determinants of medication adherence in patients with type 2. Method: The design of this research is quantitative with a cross-sectional study approach. The sample amounted to 97 patients with diabetes mellitus. The statistical analysis used is logistic regression.Results: Showed that the determinants related to medication adherence were age p-value (0.019), education p-value (0.039), Income p-value (0.006), Health Examination p-value (0.034), Blood Sugar Check p-value (0.005), DM knowledge p-value (0.000), and Social Support p-value (0.003), while work p-value (0.136), Length of Suffering from DM p-value (0.399), Use of insulin p-value (0.504), Number of Diseases p-value (0.409), Comorbid p-value (0.583), emotional p-value (0.561) there is no relationship. The most dominant determinant related to medication adherence was the knowledge variable p-value (0.000) with an odds ratio of 0.150 (95% CI: 057-391Conclusion: The most significant determinant of medication adherence is knowledge, so it is recommended to provide continuous and comprehensive updated information about the management of DM, one of which is the diabetes self-management education (DSME) method. The provision of the DSME method can be carried out through a home visit approach to the homes of type 2 DM sufferers.
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