未经评估:本研究旨在确定糖尿病患者中药物不依从(MNA)的患病率,并探讨影响MNA的原因。
UNASSIGNED:本研究采用解释性混合方法设计。第一阶段包括横断面研究,然后是定性研究的第二阶段。
未经评估:这项研究在巴生谷的两家公立医院进行,马来西亚。
未经评估:招募了约427名糖尿病患者,其中399人完成了研究。纳入标准是年龄超过18岁及以上的人,马来西亚公民,能听懂马来语或英语,被诊断患有糖尿病超过一年。排除标准是智力残疾和孕妇。第二阶段涉及研究第一阶段中从非粘附患者招募的12名参与者。
未经证实:约46.6%的患者未能坚持用药。马来人(OR:1.66,95CI:1.09至2.51,p=0.017),单身/寡妇或离异(OR:1.79,95CI:1.05~3.05,p=0.031)和HbA1c差(OR:2.57,95%CI:1.61~4.10,p=<0.01)与药物治疗不依从性相关.出现五个主要类别作为药物不依从性的原因,包括补充和替代医学的感知益处,对西药缺点的态度,糟糕的医疗保健提供者和患者关系,对药物摄入的不良情绪反应,以及日常生活和认知功能的约束。
未经证实:患者不坚持服用抗糖尿病药物的原因有很多。这些发现对于确定影响不依从性的因素非常重要,以推荐可靠的以患者为中心的护理策略来改善糖尿病患者的药物不依从性。
UNASSIGNED: This study aimed to identify the prevalence of medication non-adherence (MNA) and to explore the
reasons that influenced MNA among diabetes patients.
UNASSIGNED: This
study used the explanatory mixed-method design. Phase one comprised of a cross-sectional
study followed by phase two of a qualitative
study.
UNASSIGNED: This study took place at two public hospitals in the Klang Valley, Malaysia.
UNASSIGNED: About 427 diabetes patients were recruited and 399 of them completed the study. The inclusion criteria were those with age more than 18 years and above, Malaysian citizen, able to understand Malay or English, and were diagnosed with diabetes mellitus for more than one year. The exclusion criteria were those with an intellectual disability and pregnant women. Phase two involved 12 participants recruited from non-adherent patients in phase one of the study.
UNASSIGNED: About 46.6% of the patients failed to adhere to the medication. Malays (OR: 1.66, 95%CI: 1.09 to 2.51, p = 0.017), single/widow or divorced (OR: 1.79, 95%CI: 1.05 to 3.05, p = 0.031) and poor HbA1c (OR: 2.57, 95% CI: 1.61 to 4.10, p = < 0.01) were associated with medication non-adherence. Five main categories emerged as the
reasons for medication non-adherence, including perceived benefit of Complementary and Alternative medicine, attitude towards drawback of western medication, poor healthcare providers and patients\' relationship, undesirable emotional response towards medication intake, as well as restraints in daily routine and cognitive function.
UNASSIGNED: There are many
reasons for patients\' non-adherence to their anti-diabetes medication. These findings are important in identifying the factors that influenced non-adherence to recommend reliable patient-centred care strategies in improving medication non-adherence among patients with diabetes.