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社区老年糖尿病甲真菌病感染患者遵医行为的调查分析
引用本文:王明华,白姣姣,臧娴,王峥,沈晔,储英,赵樾,缪飞.社区老年糖尿病甲真菌病感染患者遵医行为的调查分析[J].上海医药,2016(24).
作者姓名:王明华  白姣姣  臧娴  王峥  沈晔  储英  赵樾  缪飞
作者单位:1. 上海市长宁区仙霞街道社区卫生服务中心,上海,200336;2. 复旦大学附属华东医院,上海,200040
基金项目:上海市科学技术委员会西医引导项目资助(16411971300)
摘    要:目的:调查老年糖尿病甲真菌病感染患者的遵医行为,及其影响因素。方法:2016年4月~6月采用自行设计的问卷对上海地区某社区卫生服务中心的109例老年糖尿病甲真菌病感染患者进行遵医行为及影响因素调查。结果:社区老年糖尿病甲真菌病感染患者的遵医行为较差,其用药依从性和足部保护依从性仅为2.8%。性别、有无畸形趾甲及皮肤干燥情况影响老年糖尿病甲真菌病感染患者的遵医行为,差异有统计意义(P<0.05)。结论:应加强对老年糖尿病甲真菌感染患者的健康教育,尤其是男性患者,从而提高甲真菌病防治效果,预防糖尿病足的发生与发展。

关 键 词:老年糖尿病  甲真菌病  遵医行为

Investigation and analysis of the treatment compliance behavior of the community elderly diabetic patients with onychomycosis infection
Abstract:Objective: To investigate the treatment compliance behavior of elderly diabetic patients with onychomycosis infection and its inlfuencing factors.Methods: From April to June 2016, a self-designed questionnaire was used to investigate the treatment compliance behavior of 109 elderly diabetic patients with onychomycosis infection and its inlfuencing factors in a community health service center in Shanghai.Results: Elderly diabetic patients with onychomycosis infection had the poor treatment compliance behavior, and the medication compliance and foot protection compliance was only 2.8%. Gender, abnormal toenail and dry skin influenced their treatment compliance behavior, and the difference was statistically significant(P<0.05). Conclusion: The health education should be strengthened for elderly diabetic patients with onychomycosis infection, especially for the male patients so as to improve the preventive and treatment effect of onychomycosis to prevent the occurrence and development of diabetic foot.
Keywords:elderly diabetes  onychomycosis  treatment compliance behavior
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