PDF(Pubmed)
Abstract：
UNASSIGNED: Develop individual discriminant models using clinical and psychosocial variables for physicians and patients with diabetes based on their perceptions of patient adherence.
UNASSIGNED: This was a cross-sectional research design utilizing a discriminant analysis approach. Type 2 patients on treatment for diabetes for at least 2 years prior to research were selected. Clinical data were obtained from patient records, and psychosocial variables were collected by survey instruments filled out by patients. A final sample of 200 patients was recruited.
UNASSIGNED: We found a positive correlation between patient and physician assessment of patient adherence behaviors. Greater adherence efforts were associated with lower HbA1c. Better quality of the patient-physician relationship was linked to better patient adherence. Increased HbA1c, longer therapy duration and higher BMI described low patient adherence for physicians. Lower HbA1c, female gender and fewer difficulties in marital adjustment characterized high adherence for patients. Dietary self-efficacy as well as emotional and social isolation discriminated mid-level adherers in both models.
UNASSIGNED: This research confirmed that patients and physicians perceived and judged patients\' adherence behaviors differently. Physicians and patients associated different clinical and psychological factors with low and high adherence. Further research is recommended to clarify how the quality of the physician-patient as well as the patient-spouse relationship affect dietary efficacy and patient adherence. A randomized, controlled clinical trial approach is recommended to establish the effectiveness of interventions aiming to improve dietary self-efficacy on adherence outcomes.
UNASSIGNED: This was a cross-sectional research design utilizing a discriminant analysis approach. Type 2 patients on treatment for diabetes for at least 2 years prior to research were selected. Clinical data were obtained from patient records, and psychosocial variables were collected by survey instruments filled out by patients. A final sample of 200 patients was recruited.
UNASSIGNED: We found a positive correlation between patient and physician assessment of patient adherence behaviors. Greater adherence efforts were associated with lower HbA1c. Better quality of the patient-physician relationship was linked to better patient adherence. Increased HbA1c, longer therapy duration and higher BMI described low patient adherence for physicians. Lower HbA1c, female gender and fewer difficulties in marital adjustment characterized high adherence for patients. Dietary self-efficacy as well as emotional and social isolation discriminated mid-level adherers in both models.
UNASSIGNED: This research confirmed that patients and physicians perceived and judged patients\' adherence behaviors differently. Physicians and patients associated different clinical and psychological factors with low and high adherence. Further research is recommended to clarify how the quality of the physician-patient as well as the patient-spouse relationship affect dietary efficacy and patient adherence. A randomized, controlled clinical trial approach is recommended to establish the effectiveness of interventions aiming to improve dietary self-efficacy on adherence outcomes.
摘要：
根据医生和糖尿病患者对患者依从性的看法，使用临床和社会心理变量开发个体判别模型。
■这是利用判别分析方法的横截面研究设计。选择在研究之前接受糖尿病治疗至少2年的2型患者。临床数据来自患者记录，心理社会变量是通过患者填写的调查工具收集的。招募了200名患者的最终样本。
■我们发现患者和医生对患者依从性行为的评估之间存在正相关。更高的依从性与较低的HbA1c相关。更好的医患关系质量与更好的患者依从性相关。HbA1c升高,治疗持续时间较长,BMI较高,说明医师的患者依从性较低.降低HbA1c,女性和较少的婚姻调整困难的特点是患者的高依从性。饮食自我效能感以及情感和社会隔离在两种模型中都歧视了中层信徒。
■这项研究证实，患者和医生对患者坚持行为的感知和判断是不同的。医师和患者将不同的临床和心理因素与低和高依从性相关联。建议进一步研究以阐明医师与患者的质量以及患者与配偶的关系如何影响饮食功效和患者的依从性。一个随机的，建议采用对照临床试验方法来确定旨在提高饮食自我效能的干预措施对依从性结果的有效性.
■这是利用判别分析方法的横截面研究设计。选择在研究之前接受糖尿病治疗至少2年的2型患者。临床数据来自患者记录，心理社会变量是通过患者填写的调查工具收集的。招募了200名患者的最终样本。
■我们发现患者和医生对患者依从性行为的评估之间存在正相关。更高的依从性与较低的HbA1c相关。更好的医患关系质量与更好的患者依从性相关。HbA1c升高,治疗持续时间较长,BMI较高,说明医师的患者依从性较低.降低HbA1c,女性和较少的婚姻调整困难的特点是患者的高依从性。饮食自我效能感以及情感和社会隔离在两种模型中都歧视了中层信徒。
■这项研究证实，患者和医生对患者坚持行为的感知和判断是不同的。医师和患者将不同的临床和心理因素与低和高依从性相关联。建议进一步研究以阐明医师与患者的质量以及患者与配偶的关系如何影响饮食功效和患者的依从性。一个随机的，建议采用对照临床试验方法来确定旨在提高饮食自我效能的干预措施对依从性结果的有效性.
