以质量求发展，以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (19): 58-61.doi: 10.16460/j.issn1008-9969.2020.19.058

Previous Articles     Next Articles

Dynamic Change of Medication Compliance of Newly-diagnosed Patients with Type2Diabetes Mellitus, Its Longitudinal Predictors

LUO Huan, ZOU Shu-fang   

  1. Dept. of Endocrinology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
  • Received:2020-03-31 Online:2020-10-10 Published:2020-11-11

PDF (PC)

311

Like

Abstract: Objective To analyze the dynamic change of medication compliance of newly-diagnosed patients with type 2 diabetes mellitus (T2DM) and its longitudinal predictors.Methods Totally 100 newly-diagnosed T2DM patients were surveyed by using Diabetes Distress Scale (DDS), the Beliefs About Medicine Questionnaire (BMQ), the Family APGAR (adaptation, partnership, growth, affection,resolve) index and Morisky Medication Adherence Scale(MMAS). Multiple linear regression was used to analyze the influence of diabetes distress, medication belief, and family care on medication compliance in the very day after the diagnosis, 1 month, 3 and 6 months after the diagnosis.Results The score of medication compliance 1 month, 3 and 6 months after the diagnosis was 6.5±1.9, 5.6±1.7 and 4.9±1.3 respectively, which was decreased dynamically (P<0.05). Multiple linear regression showed that diabetes distress was a negative predictor (P<0.05) but medication belief and family care were positive predictors (P<0.05) for medication compliance 1 month,3 and 6 months after the diagnosis.Conclusion Overall,T2DM patients demonstrate a dynamic decrease in terms of medication compliance in the first half year after the diagnosis and diabetes distress, medication belief, and family care are predictors for medication compliance in T2DM patients.

Key words: T2DM, newly diagnosed, medication compliance, longitudinal research, influence factor

CLC Number: 

  • R473.5
[1] Khan MAB, Hashim MJ, King JK, et al.Epidemiology of Type 2 Diabetes-global Burden of Disease and Forecasted Trends[J].J Epidemiol Glob Health, 2020, 10(1):107-111.DOI:10.2991/jegh.k.191028.001.
[2] Elgart JF, Silvestrini C, Prestes M, et al.Drug Treatment of Type 2 Diabetes: Its Cost Is Significantly Associated with Hba1c Levels[J].Int J Clin Pract, 2019,73(4):e13336.DOI:10.1111/ijcp.13336.
[3] Andanalusia M, Athiyah U.Medication Adherence in Diabetes Mellitus Patients at Tanjung Karang Primary Health Care Center, Mataram[J].Basic Clin Physiol Pharmacol, 2019,30(6).DOI:10.1515/jbcpp-2019-0287.
[4] AlQarni K, AlQarni EA, Naqvi AA, et al.Assessment of Medication Adherence in Saudi Patients with Type II Diabetes Mellitus in Khobar City, Saudi Arabia[J].Front Pharmacol, 2019(10):1306.DOI:10.3389/fphar.2019.01306.
[5] 郦杭婷,周娜,楼数慧.糖尿病患者服药依从性评估方法的研究进展[J].护理与康复,2019,18(9):29-34.DOI:10.3969/j.issn.1671-9875.2019.09.006.
[6] 杨青,刘雪琴.中文版糖尿病痛苦量表信效度评价[J].护理学报,2010,17(17):8-10.DOI:10.16460/j.issn1008-9969.2010.17.023.
[7] 唐娇,高玲玲,胡细玲,等.中文版特异性用药信念量表应用于2型糖尿病患者的信效度检验[J].护理学杂志,2019,34(21):25-28.DOI:10.3870/j.issn.1001-4152.2019.21.025.
[8] Smilkstein G.The Family APGAR: A Proposal for a Family Function Test and Its Use by Physicians[J].J Fam Pract,1978,6(6):1231-1239.
[9] 王洁,莫永珍,卞茸文.中文版8条目Morisky用药依从性问卷在2型糖尿病患者中应用的信效度评价[J].中国糖尿病杂志,2013,21(12):1101-1104.DOI:10.3969/j.issn.1006-6187.2013.12.013.
[10] 张艳,高珊,惠蓉,等.个案管理对门诊初发2型糖尿病患者代谢指标及自我管理能力的影响[J].护理学报, 2019, 26(6):55-59.DOI:10.16460/j.issn1008-9969.2019.06.055.
[11] Kretchy IA, Koduah A, Ohene-Agyei T, et al.The Association between Diabetes-related Distress and Medication Adherence in Adult Patients with Type 2 Diabetes Mellitus: A Cross-sectional Study[J].J Diabetes Res, 2020,2020:4760624.DOI:10.1155/2020/4760624.
[12] Liu SY, Huang J, Dong QL, et al.Diabetes Distress, Happiness, and Its Associated Factors among Type 2 Diabetes Mellitus Patients with Different Therapies[J].Medicine, 2020,99(11):e18831.DOI:10.1097/MD.0000000000018831.
[13] Hashimoto K, Urata K, Yoshida A, et al.The Relationship Between Patients’ Perception of Type 2 Diabetes and Medication Adherence: A Cross-Sectional Study in Japan[J].J Pharm Health Care Sci,2019(5):2.DOI:10.1186/s40780-019-0132-8.
[14] Shiyanbola OO, Unni E, Huang YM.The Association of Health Literacy with Illness Perceptions, Medication Beliefs, And Medication Adherence among Individuals With Type 2 Diabetes[J].Res Social Adm Pharm, 2018,14(9):824-830.DOI:10.1016/j.sapharm.2017.12.005.
[15] Gu L, Wu S, Zhao S, et al.Association of Social Support and Medication Adherence in Chinese Patients with Type 2 Diabetes Mellitus[J].Int J Environ Res Public Health, 2017,14(12):1522.DOI:10.3390/ijerph14121522.
[16] 蒋燕,刘安诺,章秋,等.家属参与式教育对2型糖尿病患者代谢指标影响的Meta分析[J].中国现代医学杂志,2019,29(13):56-63.DOI:10.3969/j.issn.1005-8982.2019.13.011.
[1] ZHANG Yuan, SHI Ling-yun, JIA Xue-yuan, LU Zhi, WEI Huan-huan, WANG Mei-xin. Current Situation of Frailty in Elderly Patients with Fragility Hip Fracture and Its Influence Factors [J]. Journal of Nursing, 2020, 27(17): 24-29.
[2] ZHAO Hui-hui, ZHOU Chun-lanx, XIE Yan-qing, FU Xiao-you, OU Jie-xia, WANG Run. Current Status of Health Literacy of Primary Students in Guangzhou and Its Influence Factors: A 3,135-case Study [J]. Journal of Nursing, 2020, 27(17): 30-34.
[3] LI Heng, SHI Mei-xia, GUO Qian-nan. Current Status of Training Identity of Nursing Home Staff in Shanxi Province and Its Influence Factors: A 1, 546-case Study [J]. Journal of Nursing, 2020, 27(14): 9-12.
[4] ZHANG Xiao-ru, TONG Yu-ping. Influence Factors of Response Capacity for Public Health Emergencies in Emergency Nurses [J]. Journal of Nursing, 2020, 27(13): 1-5.
[5] JIANG Teng-fei, WANG Wei, ZHANG Qi, ZHANG Lin-lin, LIU Yu-Jie, LI Zhen-xiang. Current Status of Extended Nursing for Patients with Cardiac Pacemaker and Its Influence Factors [J]. Journal of Nursing, 2019, 26(8): 1-4.
[6] ZHANG Xiao-xu, LI Xiao-mei, LI Yuan-bin, HAN Dong-fang, LI Man. Influence Factors of Pregnancy Stress in Urban Women during Pregnancy [J]. Journal of Nursing, 2019, 26(4): 1-4.
[7] WANG Ya-ting, PENG Xiao-hong, DONG Zheng-hui. Influence Factors of Stress Injury of Adult Patients after Cardiac Surgery in ICU [J]. Journal of Nursing, 2019, 26(3): 1-4.
[8] SHEN Bin-yan, CHEN Ci-yu, ZHAI Hui-ying, WU Mei-ting, WANG Si-ping, WANG Juan. Extended Nursing Need of Stroke Patients and Its Influence Factors [J]. Journal of Nursing, 2019, 26(24): 1-5.
[9] ZHU Gui-yue, Liu Hong-yan, LIU An-nuo, PAN Zheng-wen, JIANG Yan, CHEN Guo-hong, LIU Min, XIE Xiu-yun. Professional Adaptability of Nursing Students and Its Influence Factors [J]. Journal of Nursing, 2019, 26(11): 1-4.
[10] HE Yue-yue, Huang Xiu-mei, YIN An-chun, LIU Si-yu. Attitudes Toward Hospice Care of ICU Nurses and Its Influence Factors [J]. Journal of Nursing, 2019, 26(11): 5-8.
[11] ZHAO Bing-yuan, LIU Feng, JIANG Gui-chun, MAO Meng-ting, XIAO Li-ping. Current Status of Severity of Opioid-related Constipation in Cancer Patients and Its influence Factors [J]. Journal of Nursing, 2019, 26(11): 9-14.
[12] CHEN Xiao-yan, XU Rong-fang, WANG Yan, HANG Xiao-ping, SONG Li-ping. Effect of Health Education Based on Behavior Change Mode on Breast Cancer Patients with Endorine Therapy [J]. Journal of Nursing, 2019, 26(10): 68-72.
[13] MA Dan-ting,LI Wen-yuan,ZHOU Chun-lan,LIU Ying,WANG Yan. Occupational Commitment of CIinical Nurses and Its Influence Factors [J]. Journal of Nursing, 2018, 25(9): 8-12.
[14] TANG Nan,ZHAO Yan-hui,ZHANG Hong-chen,SHI Su-jie,HAN Lin. Level of Hope of Infertile Women During Treatment and Its Influence Factors:A 221-case Study [J]. Journal of Nursing, 2018, 25(6): 28-32.
[15] MA Jie-kui,LI Qi-ci. Status and Influence Factors of Critically Ill Patients with ICU Acquired Weakness [J]. Journal of Nursing, 2018, 25(6): 45-50.
Viewed
Full text


Abstract

Cited
  Shared   
[1] XIAO Su-qin, LIU Fen, HUANG Ya-lian, WANG Jia-jia, LI Na, FANG Yan-chun. Risk Factors of Fear of Childbirth Based on Decision Tree Model and Logistic Regression Model[J]. Journal of Nursing, 2020, 27(18): 1 -5 .
[2] . [J]. Journal of Nursing, 2020, 27(18): 6 -10 .
[3] . [J]. Journal of Nursing, 2020, 27(18): 11 -14 .
[4] LI Xi-lin, ZHANG Yan, TAO Yan-ling, YE Zi-wen, WANG Hui-zhen. Construction of Evaluation Index System of Graduation Practice Bases for Nursing Undergraduates in Guangdong Based on Context, Input, Process, Product Model[J]. Journal of Nursing, 2020, 27(18): 15 -20 .
[5] . Quality of Life, Its Influence Factors of the Elderly in Nursing Homes via Chinese Version of Continuity Assessment Record, Evaluation[J]. Journal of Nursing, 2020, 27(19): 1 -5 .
[6] . Influence of Perceived Professional Benefits on Career Planning of Nurses in One Tertiary Grade-A Hospital[J]. Journal of Nursing, 2020, 27(19): 6 -10 .
[7] . Establishment, Evaluation of Risk Prediction Model of Major Adverse Cardiac Events in Patients with Acute Coronary Syndrome One Year after Percutaneous Coronary Intervention[J]. Journal of Nursing, 2020, 27(19): 11 -16 .
[8] . [J]. Journal of Nursing, 2020, 27(19): 17 -22 .
[9] . [J]. Journal of Nursing, 2020, 27(19): 23 -28 .
[10] . Best Evidence Summary for Early Enteral Nutrition in Patients with Acute Pancreatitis[J]. Journal of Nursing, 2020, 27(19): 29 -34 .