摘要
目的了解家庭医生签约的2型糖尿病患者对缓控释口服药认知度的现状,分析患者在使用方面存在的问题和原因,提出建议和对策。方法采取便利抽样法,于2019年5月选取北京市西城区月坛社区卫生服务中心及通州区新华社区卫生服务中心家庭医生签约的口服缓控释药的2型糖尿病患者400例,采用自行设计的2型糖尿病患者缓控释口服药物认知度问卷进行调查,分析患者对药物使用的认知程度及影响因素。结果400例患者对缓控释口服药物认知度问卷的6个条目回答正确率为55.3%~59.3%;41~60岁的患者回答正确率高于60岁以上的患者,文化程度高的患者正确率高于文化程度偏低的患者,血糖达标组患者正确率高于不达标组患者,差异均有统计学意义(P<0.01)。结论家庭医生签约的糖尿病患者对缓控释口服药了解度较低,针对患者自身情况,进行个体化的指导,有利于患者掌握缓控释药物的认知度和正确使用率。
Objective To explore the current cognition of sustained-released(SR)and controlledrelease(CR)oral drugs in patients with type 2 diabetes mellitus(T2DM)who have been contracted with general practitioners,analyze the problems and causes in the patients'drug use,and put forward suggestions and countermeasures.Methods Totally 400 T2DM patients using SR and CR oral drugs,who have been contracted with general practitioners from Yuetan Community Healthcare Center in Xicheng District and Xinhua Community Healthcare Center in Tongzhou District of Beijing were selected by convenient sampling in May 2019,and investigated with the self-designed SR and CR cognition questionnaire for T2DM patients.The patients'cognition and influencing factors of drug use were analyzed.Results The correct answer rate of the six items in the SR and CR oral drug questionnaire among the 400 patients was 55.3%-59.3%.The correct answer rate of patients aged 41-60 years was higher than that of patients aged over 60 years;the correct answer rate of patients with higher educational levels was higher than that of patients with lower educational levels;and the correct rate of patients who met blood glucose standards was higher than that of patients who did not meet blood glucose standards,and the differences were statistically significant(P<0.01).Conclusions Diabetic patients contracted with general practitioners have a low level of understanding of SR and CR oral drugs.Individualized guidance based on the patients'own conditions is conducive to their cognition and correct use rate of SR and CR drugs.
作者
郭杰新
王婧宇
丁静
Guo Jiexin;Wang Jingyu;Ding Jing(Beiyuan Community Healthcare Center,Tongzhou District,Beijing 101100,China;Yuetan Community Teaching and Research Office,Fu Xing Hospital,Capital Medical University,School of General Practice and Continuing Education,Capital Medical University,Beijing 100038,China)
出处
《中华现代护理杂志》
2020年第14期1884-1888,共5页
Chinese Journal of Modern Nursing
关键词
糖尿病
2型
家庭医生签约服务
缓控释口服药物
Diabetes mellitus,type 2
Contracting service with general practitioners
Sustainedreleased and controlled-release oral drugs
