Physicians' therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria
Physicians' therapeutic practice and compliance of diabetic patients attending rural primary health care units in Alexandria
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DOI：
10.4103/1319-1683.74325
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发表时间：
2010-09-01
影响因子：
2.7
通讯作者：
El-Sewi, Fatihey
中科院分区：
文献类型：
--
作者：
Ibrahim, Nahla Khamis R.;Attia, Saeid G.;El-Sewi, Fatihey
该研究的目的是调查医生的治疗实践和糖尿病患者在亚历山大农村初级卫生单位的依从性。材料与方法：采用横断面研究，采用多阶段分层随机抽样方法，选取600例糖尿病患者。通过访谈问卷、观察清单、处方审查和实验室调查收集数据。对糖尿病患者的知识和技能、患者依从性、医患关系和血糖控制情况进行评分。结果：总遵医嘱按时服药的占57%，总遵医嘱服药的占2.2%，总遵医嘱服药的占2.2%，总遵医嘱服药的占2.2%。方案并发症是最常见的不遵守原因（63.3%）。对所有治疗方案的依从性与患者对糖尿病的了解程度之间存在高度统计学上的显著差异。医患关系得分均不理想。糖化血红蛋白（HbA1c）结果显示，五分之四的患者代谢控制满意，12%的患者代谢控制一般，8%的患者代谢控制较差。结论：患者对大多数糖尿病治疗方案的依从性较低。通过开展教育培训，改善医患关系，提高患者依从性。
The objectives of the study were to investigate physician's therapeutic practice and the compliance of diabetic patients attending rural primary health units in Alexandria. Material and Methods: A cross-sectional study was conducted and a multistage stratified random sample method was used for the selection of 600 diabetic patients. Data were collected by means of an interviewing questionnaire, an observation checklist, review of prescriptions and laboratory investigations. A scoring system was made for a diabetic patient's knowledge and skills, patient's compliance, doctor-patient relationship, and glycemic control. Results: About 57% always took their medication as prescribed by doctor and on time, only 2.2% always complied with dietary regimen while no one reported regular compliance with exercise regimen. Complications of the regimen was the commonest cause (63.3%) of noncompliance. A highly statistically significant difference was found between compliance with all regimens and patient's knowledge of diabetes. The scores for doctor-patient relationship were all unsatisfactory. Results of glycosylated hemoglobin (HbA1c) revealed that metabolic control of four-fifth of the patients was satisfactory, 12% had fair and 8% had poor metabolic control. Conclusions: Patient's compliance with most of the diabetes regimen was low. Doctor-patient relationship and patient's compliance should be improved by conducting educational and training programs.