糖尿病住院患者服药依从性现状分析

目的：选取50例糖尿病住院患者对其服药依从性进行分析。方法：采用的测量工具为通过阅读文献自行编制的“2型糖尿病患者服药依从性调查问卷”,访谈式调查。调查内容包括患者一般情况、药物治疗情况（服药种类、剂型、数量、次数），并根据上述指标确定依从性。结果：20例（36.4%）糖尿病患者服药依从性好，35例（63.6%）患者依从性差。依从性好的患者对于健康行为益处的感知较高，达80.00%（16/20）；依从性差的患者对于健康行为益处的感知较低，为48.57%（17/35），两者比较差异显著（P＜0.05）。依从性好的患者经济承受力强，依从性差的患者经济承受力弱，两者比较差异显著（P＜0.05）。依从性好的患者90.00%（18/20）能进入患者角色，依从性差的患者65.71%（23/35）能进入患者角色，两者比较差异显著（P＜0.05）。结论：糖尿病患者应遵医嘱规律服药,加强健康宣教,帮助患者建立正确积极的健康信念,并把信念转化为自觉的行为,提高生存质量。

On Drug Dependency of Inpatients with Diabetes Mellitus

Objective：To analyze drug dependency of 50 inpatients with diabetes mellitus （DM）. Methods：Questionnaire for drug dependency of T2DM patients was designed by reading literature and taken as the survey tool through interviewing. The contents included general conditions of the patients, treatment （the sorts of the drugs, dose, quantity and times）, and the dependency was assessed by the above indexes. Results： There were 20 cases （36.4%） of DM patients with good drug dependency, but 35 patients （63.6%） with poor drug dependency. The pa-tients with good dependency could grasp the advantages of healthy behaviours well, the perception rate reached 80.00%（16/20）; while the ones with poor drug dependency couldn’t understand the advantages of healthy be-haviours, and the perception rate was 48.57% （17/35）, the difference was significant （P〈0.05）. The patients with good dependency presented strong economic affordability, the ones with poor drug dependency showed weak eco-nomic affordability, the difference was remarkable （P〈0.05）. 90.00%of the patients with good dependency were able into sick role（18/20）, and 65.71%of the ones with poor dependency were able into sick role（23/35）, the differ-ence was significant （P〈0.05）. Conclusion：The patients should take the medicine by following the doctor′s advice, at the same time, we should enhance health education, help the patients establish right and positive healthy belief, transform the belief into spontaneous action and improve life quality.