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中国临床研究英文版:2023,36(5):792-796
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白血病合并2型糖尿病患者化疗依从性相关影响因素及对策
(1. 四川大学华西医院血液科,四川 成都 610041;2. 四川大学华西护理学院,四川 成都 610041)
Influencing factors and countermeasures of chemotherapy compliance in leukemia patients with type 2 diabetes mellitus
摘要
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Received:December 13, 2022   Published Online:May 20, 2023
中文摘要: 目的 探讨白血病合并糖尿病患者化疗依从性情况,及其相关影响因素和对策。方法 选取2017年5月至2021年11月在四川大学华西医院血液内科收治的164例白血病合并糖尿病患者。收集患者一般资料,并在维持化疗期采用服药依从性量表(Morisky)进行评价,将入组164例患者依据Morisky评分分为依从性良好组与依从性不佳组,分别有113例和51例。单因素分析影响白血病合并糖尿病患者化疗依从性的相关因素,二元logistic回归分析其独立危险因素。结果 入组164例患者中有51例依从性不佳,占31.10%。化疗依从性不佳组与依从性良好组在文化程度、居住地、个人月收入、婚姻状况、疾病与化疗知识掌握水平、用药后有不良反应、情绪稳定比较差异有统计学意义(P<0.05)。Logistic回归分析显示,个人月收入≤4000元(OR=2.962)、婚姻状况为未婚或丧偶(OR=2.869)、用药后有不良反应(OR=2.713)、情绪不稳定(OR=2.617)均为影响白血病合并糖尿病患者化疗依从性较差的独立危险因素(P<0.05)。结论 医护人员应重点关注个人月收入≤4000元、婚姻状况为未婚或丧偶、用药后有不良反应、情绪不稳定的患者,并通过饮食、健康宣教和心理护理等方式进行及时干预。
Abstract:Objective To explore the influencing factors and countermeasures of chemotherapy compliance in leukemia patients complicated with diabetes. Methods A total of 164 leukemia patients with diabetes admitted to Hematology Department of West China Hospital between May 2017 and November 2021 were enrolled as the research subjects. After collecting the general data of patients, the patients were divided into good compliance group(n=113) and poor compliance group(n=51) according to the evaluation by Morisky medication adherence scale during chemotherapy. The influencing factors of chemotherapy compliance were analyzed by univariate analysis, and the risk factors influencing compliance differences were analyzed by logistic regression method. Results There were significant differences in comparison of education level, residence, personal monthly income, marital status, knowledge level of disease and chemotherapy, adverse reactions after medication and emotional stability between poor compliance group and good compliance group(P<0.05). Logistic regression analysis showed that personal monthly income of less than 4000 yuan(OR=2.962), unmarried or widowed (OR=2.869), adverse reactions after medication(OR=2.713) and emotional instability(OR=2.617) were the independent risk factors of poor chemotherapy compliance(P<0.05). ConclusionMedical staffs should focus on the patients with low income, marital status of unmarried or widowed, adverse reactions after medication and emotional instability and provide timely intervention through diet, health education, and psychological nursing.
文章编号:     中图分类号:R730.53    文献标志码:B
基金项目:四川省中医药管理局专项课题(2021MS385)
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