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.	何素兰, 陈素文, 陆晓伟, 等. 中青年 2 型糖尿病患者遵医行为影响因素分析. 齐鲁护理杂志, 2010, 16(1): 4-7.
12.	黄笋, 文艳玲, 陈健. 糖尿病患者服药依从性影响因素研究. 中国社会医学杂志, 2016, 33(4): 368-370.
13.	孙吉峰, 郝艳华, 刘春燕, 等. 社区糖尿病患者服药依从性水平及其影响因素分析. 中国初级卫生保健, 2012, 26(1): 86-88.
14.	鹿丽华. 健康教育对糖尿病患者服药依从性的影响. 中国医学创新, 2011, 8(6): 110-112.
15.	龙连园, 刘薇群, 葛津津, 等. 2 型糖尿病患者服药依从性影响因素及健康教育的研究进展. 中华现代护理杂志, 2013, 19(18): 2227-2230.
16.	黄雪梅, 叶国永, 陈媚珠. 深圳市糖尿病患者服药依从性及相关危险因素分析. 西北药学杂志, 2016, 31(1): 101-103.
17.	洪娟. 社区老年糖尿病患者服药依从性与社会支持的现状调查及相关性研究. 中国初级卫生保健, 2014, 28(8): 24-26, 30.
18.	张淼, 张小丽, 汪凤兰, 等. 糖尿病患者遵医服药依从性影响因素调查. 卫生职业教育, 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. 国家卫生和计划生育委员会. 北京市创新基层医疗医疗卫生工作模式. (2012-03-06)[2017-07-21]. http://www.nhfpc.gov.cn/ tigs/s9661/201206/7eb0c87652404103a9c9f1b22b4377d1.shtml.
6. 包思敏, 张开金, 黄新, 等. 南京市社区慢性病患者生命质量及影响因素的调查研究. 中国全科医学, 2010, 13(34): 3888-3890.
7. 黄煊, 施榕. 家庭病床患者的功能状态和心理状态及家庭功能状况调查. 中国全科医学, 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. 戴丽华, 张瑜. 微信教育对 2 型糖尿病病人出院后服药依从性的影响. 全科护理, 2016, 14(30): 3194-3196.
11. 何素兰, 陈素文, 陆晓伟, 等. 中青年 2 型糖尿病患者遵医行为影响因素分析. 齐鲁护理杂志, 2010, 16(1): 4-7.
12. 黄笋, 文艳玲, 陈健. 糖尿病患者服药依从性影响因素研究. 中国社会医学杂志, 2016, 33(4): 368-370.
13. 孙吉峰, 郝艳华, 刘春燕, 等. 社区糖尿病患者服药依从性水平及其影响因素分析. 中国初级卫生保健, 2012, 26(1): 86-88.
14. 鹿丽华. 健康教育对糖尿病患者服药依从性的影响. 中国医学创新, 2011, 8(6): 110-112.
15. 龙连园, 刘薇群, 葛津津, 等. 2 型糖尿病患者服药依从性影响因素及健康教育的研究进展. 中华现代护理杂志, 2013, 19(18): 2227-2230.
16. 黄雪梅, 叶国永, 陈媚珠. 深圳市糖尿病患者服药依从性及相关危险因素分析. 西北药学杂志, 2016, 31(1): 101-103.
17. 洪娟. 社区老年糖尿病患者服药依从性与社会支持的现状调查及相关性研究. 中国初级卫生保健, 2014, 28(8): 24-26, 30.
18. 张淼, 张小丽, 汪凤兰, 等. 糖尿病患者遵医服药依从性影响因素调查. 卫生职业教育, 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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