Приверженность к медикаментозной терапии у пациентов с сахарным диабетом в Индонезии и факторы, влияющие на нее

ОБОСНОВАНИЕ. Сахарный диабет существенно влияет на качество человеческих ресурсов и значительно увеличивает расходы на здравоохранение. Хорошая приверженность лечению помогает контролировать уровень сахара в крови и снижает риск госпитализаций.

ЦЕЛЬ. Определить профиль приверженности к медикаментозной терапии у пациентов с сахарным диабетом и выявить влияющие на неё факторы.

МАТЕРИАЛЫ И МЕТОДЫ. Была проведена поперечная (cross-sectional) выборка в амбулаторном центре Калиньяматан, Центральная Ява, Индонезия, с участием 90 пациентов с сахарным диабетом 2 типа. Первичные данные собирались с помощью предварительно протестированных анкет. Для набора участников использовалась стратегия сплошной выборки. Для определения факторов, влияющих на приверженность к лечению, был проведен логистический регрессионный анализ.

РЕЗУЛЬТАТЫ. Приверженность к лечению была низкой у 22 человек (24,4%) и высокой у 68 человек (75,6%). На приверженность достоверно влияли следующие четыре фактора: возраст (p=0,007), уровень образования (p=0,048), род занятий (p=0,012) и семейная поддержка (p=0,002). Пол (p=0,259) и длительность заболевания (p=0,547) не показали значимого влияния.

ЗАКЛЮЧЕНИЕ. Медицинские работники должны мотивировать пациентов с сахарным диабетом соблюдать назначенное лечение.

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