Insulin adherence behaviours and barriers in the multinational Global Attitudes of Patients and Physicians in Insulin Therapy study.
Insulin adherence behaviours and barriers in the multinational Global Attitudes of Patients and Physicians in Insulin Therapy study.
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DOI：
10.1111/j.1464-5491.2012.03605.x
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发表时间：
2012-05
期刊：
影响因子：
--
通讯作者：
Schumm-Draeger PM
中科院分区：
文献类型：
--
作者：
Peyrot M;Barnett AH;Meneghini LF;Schumm-Draeger PM
检查患者和医生对胰岛素治疗的看法以及患者坚持胰岛素治疗方案的程度。网络调查了中国、法国、日本、德国、西班牙、土耳其、英国和美国治疗糖尿病患者的1250名医生（600名专科医生，650名初级保健医生），电话调查了1530名胰岛素治疗患者（180名1型糖尿病患者，1350名2型糖尿病患者）。三分之一（33.2%）的患者报告在上个月至少有1天胰岛素遗漏/不依从，平均为3.3天。四分之三（72.5%）的医生报告说，他们的典型患者没有按照规定服用胰岛素，平均每月有4.3天的基础胰岛素遗漏/不依从性，每月有5.7天的膳食胰岛素遗漏/不依从性。患者和医疗服务提供者指出了胰岛素遗漏/不遵医嘱的五个最常见原因：太忙；旅行;跳过吃饭;压力/情感问题;公共尴尬。医生报告说，患者在及时启动胰岛素和调整胰岛素剂量方面的成功率较低。大多数医生报告说，许多胰岛素治疗的患者没有足够的血糖控制（87.6%），如果不是因为担心低血糖，他们会更积极地治疗（75.5%）。尽管大多数患者（和医生）认为胰岛素治疗是限制性的，但更多的患者认为胰岛素治疗对他们的生活有积极而不是消极的影响。胰岛素治疗患者的血糖控制不足，部分原因是胰岛素遗漏/不依从性和缺乏剂量调整。需要限制较少、负担较重、低血糖风险较低的胰岛素治疗方案。
To examine patient and physician beliefs regarding insulin therapy and the degree to which patients adhere to their insulin regimens. Internet survey of 1250 physicians (600 specialists, 650 primary care physicians) who treat patients with diabetes and telephone survey of 1530 insulin-treated patients (180 with Type 1 diabetes, 1350 with Type 2 diabetes) in China, France, Japan, Germany, Spain, Turkey, the UK or the USA. One third (33.2%) of patients reported insulin omission/non-adherence at least 1 day in the last month, with an average of 3.3 days. Three quarters (72.5%) of physicians report that their typical patient does not take their insulin as prescribed, with a mean of 4.3 days per month of basal insulin omission/non-adherence and 5.7 days per month of prandial insulin omission/non-adherence. Patients and providers indicated the same five most common reasons for insulin omission/non-adherence: too busy; travelling; skipped meals; stress/emotional problems; public embarrassment. Physicians reported low patient success at initiating insulin in a timely fashion and adjusting insulin doses. Most physicians report that many insulin-treated patients do not have adequate glucose control (87.6%) and that they would treat more aggressively if not for concern about hypoglycaemia (75.5%). Although a majority of patients (and physicians) regard insulin treatment as restrictive, more patients see insulin treatment as having positive than negative impacts on their lives. Glucose control is inadequate among insulin-treated patients, in part attributable to insulin omission/non-adherence and lack of dose adjustment. There is a need for insulin regimens that are less restrictive and burdensome with lower risk of hypoglycaemia.
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影响因子：
2.3
作者：
Peyrot, Mark;Skovlund, Soren E.;Landgraf, Ruediger
通讯作者：
Landgraf, Ruediger
影响因子：
16.2
作者：
Cramer, JA;Pugh, MJ
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Pugh, MJ
影响因子：
16.2
作者：
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影响因子：
1.7
作者：
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通讯作者：
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影响因子：
2.2
作者：
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通讯作者：
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