老年2型糖尿病患者胰岛素注射依从性及其影响因素分析

目的: 了解老年2型糖尿病患者胰岛素注射依从性现状及其影响因素,提高胰岛素注射的依从性。方法: 对210例老年2型糖尿病患者发放问卷调查,了解依从性的现状,并分析影响因素。结果: 胰岛素注射依从性良好者129例,较差者81例。胰岛素注射依从性差表现为:不能每天坚持注射(21.9%),剂量不完全遵照医嘱(32.4%),注射时间不遵照医嘱(39.0%),注射次数不正确(34.3%),不按指导部位及轮换原则进行注射(42.4%),不按时进餐(39.0%)。影响老年2型糖尿病胰岛素注射依从性的因素包括年龄、胰岛素认知程度、文化程度、收入情况、家庭支持状况、疾病知识教育接受情况(P<0.05)。结论: 多种因素均对老年2型糖尿病患者胰岛素注射依从性造成影响,针对这些因素,对患者实施健康教育并提供社会支持,提高患者对胰岛素的正确认识,从而提高其胰岛素注射依从性。

The compliance of insulin injection and its influence factors in elderly patients with type 2 diabetes

Objective: To investigate the compliance of insulin injection and its influence factors in elderly patients with type 2 diabetes for taking corresponding measures to improve the compliance of insulin injection.Methods: Two hundred and ten elderly patients with type 2 diabetes were investigated by questionnaire survey to know the compliance of insulin injection,and analyze its influence factors.Results: The compliance of insulin injection in 129 cases and 81 cases were good and poor,respectively.The poor compliance of insulin injection included non-consistent injecting everyday(21.9%),non-complying with the doctor's advice(32.4%),incorrect injection time(39.0%),incorrect injection time(34.3%),incorrect injection position,incorrect rotation principle(42.4%) and non-eating on time(39.0%).The age,the degree of cognition,culture,income,family support and disease knowledge education were the compliance factors of insulin injection in elderly patients with type 2 diabetes(P<0.05).Conclusions: Many factors can affect the compliance of insulin injection in elderly patients with type 2 diabetes.Implementing health education,providing social support and improving the correct knowledge of insulin can improve the compliance of insulin injection.