126例农村糖尿病患者遵医不良的原因分析及对策

目的了解农村糖尿病患者遵医不良的原因，并提出对策。方法自行设计糖尿病患者遵医行为调查表，内容包括对疾病及治疗认知、疾病控制情况、医嘱与遵医程度、不能遵医的原因，对126例农村糖尿病患者进行调查。结果患者口服药物、胰岛素注射、饮食控制、适量运动、戒烟酒、定期复查的完全遵医率分别为62．3％、66．7％、48．4％、37．3％、51．5％：43．6％；不遵医的主要原因为对自身疾病认识不足、医疗意向不明确以及复诊受条件限制等；由于遵医不良，89例发生并发症。结论农村糖尿病患者遵医较差，应加强健康教育及行为指导，提高遵医依从性。

Cause analysis on poor compliance of 126 rural patients with diabetes and strategies

Objective To study the causes of poor compliance of rural patients with diabetes and find out strategies.Method Investigate 126 rural patients with diabetes by self-designed questionnaire,including cognition on the disease and treatment,disease control,medical order and compliance level and the cause of poor compliance.Result The rates of total compliance are 62.3% for oral drug,66.7% for insulin injection,48.4% for diet control,37.3% for fitting exercise,51.5% for quiting smoking and wine and 43.6% for reg...