Influencing factors of medication adherence among patients with diabetes signing family doctor service contract in Beijing urban areas_West China Medical Journal

Authors：

LIU Yingjie ¹ , WANG Tong ² , ZHANG Dandan ¹ , ZHAO Yali ¹ , SHAO Shuang ¹ ,  DU Juan ¹

1. School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, P. R. China;
2. Lugouqiao Community Health Service Center, Fengtai District, Beijing 100165, P. R. China;

Corresponding?author：

DU Juan, Email: cuckoo@ccmu.edu.cn

Keywords：

Family doctor service; Diabetes; Medication adherence; Influencing factors

DOI：

10.7507/1002-0179.201704100

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Objective To investigate the factors influencing the medication adherence among patients with diabetes signing family doctor service contract in Beijing urban areas, and provide the basis for improving the level of medication adherence. Methods A total of 320 patients with diabetes from four community health service centers in Beijing urban areas were selected to answer the questionnaires using convenient sampling from June to September 2015. Univariate analysis and binary logistic regression were used for the influencing factors analysis. Results A total of 320 questionnaires were distributed, and 317 valid questionnaires were recovered, in which the rate of high medication adherence was 54.6%. The results of logistic regression showed that the main impact factors on medication adherence were age [odds ratio (OR)=1.918, P=0.011)], degree of education (OR=2.462, P=0.008), knowledge related to diabetes (OR=1.773, P=0.027), adopting of family doctor service or not (OR=2.521, P=0.029) and social function status (P=0.003). Conclusions The family doctor service team should implement the practice of the family doctor service to ensure that the contracted residents can make full use of the family doctor services; and strengthen the follow-up and interventions for patients less aged or with low degree of education. For those with poor social function, more attention should be paid to their self-health management behavior to improve the level of patients’ compliance. As a result, the levels of blood glucose will be well controlled to reduce possibilities of complications and improve their health status and quality of life.

Citation： LIU Yingjie, WANG Tong, ZHANG Dandan, ZHAO Yali, SHAO Shuang, DU Juan. Influencing factors of medication adherence among patients with diabetes signing family doctor service contract in Beijing urban areas. West China Medical Journal, 2017, 32(8): 1168-1172. doi: 10.7507/1002-0179.201704100 Copy

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11.	何素蘭, 陳素文, 陸曉偉, 等. 中青年 2 型糖尿病患者遵醫行為影響因素分析. 齊魯護理雜志, 2010, 16(1): 4-7.
12.	黃筍, 文艷玲, 陳健. 糖尿病患者服藥依從性影響因素研究. 中國社會醫學雜志, 2016, 33(4): 368-370.
13.	孫吉峰, 郝艷華, 劉春燕, 等. 社區糖尿病患者服藥依從性水平及其影響因素分析. 中國初級衛生保健, 2012, 26(1): 86-88.
14.	鹿麗華. 健康教育對糖尿病患者服藥依從性的影響. 中國醫學創新, 2011, 8(6): 110-112.
15.	龍連園, 劉薇群, 葛津津, 等. 2 型糖尿病患者服藥依從性影響因素及健康教育的研究進展. 中華現代護理雜志, 2013, 19(18): 2227-2230.
16.	黃雪梅, 葉國永, 陳媚珠. 深圳市糖尿病患者服藥依從性及相關危險因素分析. 西北藥學雜志, 2016, 31(1): 101-103.
17.	洪娟. 社區老年糖尿病患者服藥依從性與社會支持的現狀調查及相關性研究. 中國初級衛生保健, 2014, 28(8): 24-26, 30.
18.	張淼, 張小麗, 汪鳳蘭, 等. 糖尿病患者遵醫服藥依從性影響因素調查. 衛生職業教育, 2014, 32(11): 118-119.

1. International Diabetes Federation. Diabetes Atlas. 6th ed. (2013-05-27)[2017-03-30]. http://www.idf.org/diabetesatlas/download-book.
2. Wabe NT, Angamo MT, Hussein S. Medication adherence in diabetes mellitus and self management practices among type-2 diabetics in Ethiopia. N Am J Med Sci, 2011, 3(9): 418-423.
3. Tiv M, Viel JF, Mauny F, et al. Medication adherence in type 2 diabetes: the ENTRED study 2007, a French population-based study. PLoS One, 2012, 7(3): e32412.
4. Schectman JM, Nadkarni MM, Voss JD. The association between diabetes metabolic control and drug adherence in an indigent population. Diabetes Care, 2002, 25(6): 1015-1021.
5. 國家衛生和計劃生育委員會. 北京市創新基層醫療醫療衛生工作模式. (2012-03-06)[2017-07-21]. http://www.nhfpc.gov.cn/ tigs/s9661/201206/7eb0c87652404103a9c9f1b22b4377d1.shtml.
6. 包思敏, 張開金, 黃新, 等. 南京市社區慢性病患者生命質量及影響因素的調查研究. 中國全科醫學, 2010, 13(34): 3888-3890.
7. 黃煊, 施榕. 家庭病床患者的功能狀態和心理狀態及家庭功能狀況調查. 中國全科醫學, 2008, 11(13): 1171-1172, 1175.
8. Morisky DE, Ang A, Krousel-Wood M, et al. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich), 2008, 10(5): 348-354.
9. Lee GK, Wang HH, Liu KQ, et al. Determinants of medication adherence to antihypertensive medications among a Chinese population using Morisky Medication Adherence Scale. PLoS One, 2013, 8(4): e62775.
10. 戴麗華, 張瑜. 微信教育對 2 型糖尿病病人出院后服藥依從性的影響. 全科護理, 2016, 14(30): 3194-3196.
11. 何素蘭, 陳素文, 陸曉偉, 等. 中青年 2 型糖尿病患者遵醫行為影響因素分析. 齊魯護理雜志, 2010, 16(1): 4-7.
12. 黃筍, 文艷玲, 陳健. 糖尿病患者服藥依從性影響因素研究. 中國社會醫學雜志, 2016, 33(4): 368-370.
13. 孫吉峰, 郝艷華, 劉春燕, 等. 社區糖尿病患者服藥依從性水平及其影響因素分析. 中國初級衛生保健, 2012, 26(1): 86-88.
14. 鹿麗華. 健康教育對糖尿病患者服藥依從性的影響. 中國醫學創新, 2011, 8(6): 110-112.
15. 龍連園, 劉薇群, 葛津津, 等. 2 型糖尿病患者服藥依從性影響因素及健康教育的研究進展. 中華現代護理雜志, 2013, 19(18): 2227-2230.
16. 黃雪梅, 葉國永, 陳媚珠. 深圳市糖尿病患者服藥依從性及相關危險因素分析. 西北藥學雜志, 2016, 31(1): 101-103.
17. 洪娟. 社區老年糖尿病患者服藥依從性與社會支持的現狀調查及相關性研究. 中國初級衛生保健, 2014, 28(8): 24-26, 30.
18. 張淼, 張小麗, 汪鳳蘭, 等. 糖尿病患者遵醫服藥依從性影響因素調查. 衛生職業教育, 2014, 32(11): 118-119.

West China Medical Journal

Influencing factors of medication adherence among patients with diabetes signing family doctor service contract in Beijing urban areas

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