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Abstract
Pharmaceutical Care and Research: 2018; 18(4):296-299
DOI: 10.5428/pcar20180416
Effect of medication adherence on blood glucose control in patients with diabetes mellitus
1. JIN Yan1(1.Department of Pharmacy, Chongming Branch of Shanghai Tenth People’s Hospital, Shanghai 202157,China jyasy@163.com)
2. GONG ZhangJun1(1.Department of Pharmacy, Chongming Branch of Shanghai Tenth People’s Hospital, Shanghai 202157,China )
3. XU HongBin1(1.Department of Pharmacy, Chongming Branch of Shanghai Tenth People’s Hospital, Shanghai 202157,China xuhong bin@tongji.edu.cn)
4. 2(2.Department of Pharmacy, Shanghai Tenth People’s Hospital, Shanghai 200072, China xuhong bin@tongji.edu.cn)
ABSTRACT  Objective: To explore the effects of medication adherence, self-management ability of patients and diabetes education on blood glucose control in diabetic patients. Methods: General demographic information, medical history, blood glucose monitoring information, medical education on diabetes mellitus were collected from 259 patients with type 2 diabetes mellitus, who sought medical care in the expert outpatient department, Chongming Branch of Shanghai Tenth People’s Hospital by using the self-designed questionnaire. Medication adherence of the diabetic patients was analyzed by Morisky medication adherence method. The obtained data was statistically analyzed by chi-square test. The relationship between general information and medication adherence, and the relationship between medication adherence or patient self-management ability and target-achieving of blood glucose standards were analyzed in the study. Results: Two hundred and fifty-nine copies of questionnaire were issued to the patients, and 230 valid questionnaires were retrieved, with an effective recovery rate of 88.8%. Of the 230 patients, 122 (53.04%) had good medication adherence and 108(46.96%) had poor adherence. The average level of glycosylated hemoglobin (HbA1c) was (9.54±2.72)%. 131 cases (56.96%) met the set blood glucose standards but 99 cases (43.04%) failed to meet. The patients without smoking or alcoholism displayed better medication adherence (P<0.05). However, smoking and alcoholism had little effect on the rate of reaching the set blood glucose standards. The rate of reaching the set blood glucose standards of patients with regular blood glucose monitoring and diabetes education was significantly higher than that of the patients without regular blood glucose monitoring and diabetes education (P<0.05). Conclusion: Medication adherence of patients was affected by many factors. Regular monitoring of blood glucose and effective obedience to health guidance could help patients to control blood glucose.
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Please cite this article as:
JIN Yan1,GONG ZhangJun1,XU HongBin1,2,. Effect of medication adherence on blood glucose control in patients with diabetes mellitus[J]. Pharmaceutical Care and Research / yao xue fu wu yu yan jiu. 2018; 18(4): 296-299.
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