首页|糖尿病视网膜病变患者随访依从性的影响因素及干预策略

糖尿病视网膜病变患者随访依从性的影响因素及干预策略

Study on influencing factors and intervention strategies of follow-up compliance in diabetic retinopathy patients

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目的 分析糖尿病视网膜病变(diabetic retinopathy,DR)患者随访依从性的影响因素,并针对提出干预策略,以督促患者养成良好的主动健康管理行为.方法 对治疗后在门诊复查的 100 例DR患者进行每月 1 次的随访,共随访 6 个月.随访次数≥3 次者为随访依从性良好,采用单因素、多因素Logistic回归,分析DR患者随访依从性的影响因素.结果 100 例患者中随访依从性良好 57 例,占比 57.0%.单因素分析结果显示,年龄、DR程度、居住地、文化程度、就业及医疗保险情况影响DR患者的随访依从性(P<0.05);多因素分析显示,年龄≥60 岁(OR=1.883)、轻度非增殖型DR病变(OR=2.147)、居住在农村(OR=2.113)、初中及以下文化程度(OR=2.284),以及无业(OR=1.919)、无医疗保险(OR=2.184)均是DR患者随访依从性的独立危险因素(P<0.05).结论 DR患者的随访依从性与年龄、居住地、文化程度、病情分期、就业和医疗保险情况相关,可针对以上危险因素进行干预以促进患者的健康行为.
Objective To analyze the influencing factors of follow-up compliance in patients with diabetic retinopathy(DR),and propose intervention strategies to encourage patients to develop good proactive health management behaviors.Methods A total of 100 post-treatment DR patients were followed up monthly in the outpatient clinic for a total of 6 months.Patients with a follow-up frequency of three or more times were considered to have good compliance with follow-up.Univariate and multivariate Logistic regression analyses were conducted to identify factors influencing the compliance of DR patients with follow-up.Results Among the 100 patients,57 had good follow-up compliance,accounting for 57.0%.Univariate analysis showed that age,severity of DR,place of residence,level of education,employment status,and medical insurance situation affected the compliance with follow-up in DR patients(P<0.05).Multivariate analysis indicated that being aged 60 or above(OR=1.883),having mild non-proliferative DR(OR=2.147),residing in rural areas(OR=2.113),having education at the level of junior high school or below(OR=2.284),being unemployed(OR=1.919),and lacking medical insurance(OR=2.184)were all independent risk factors for the follow-up compliance of DR patients(P<0.05).Conclusions Follow-up compliance of DR Patients is associated with age,place of residence,level of education,disease stage,employment status,and medical insurance status.Interventions targeting the above risk factors can be implemented to promote healthy behaviors among patients.

diabetic retinopathyfollow-up complianceproactive health managementinfluencing factorsintervention strategies

黄丽榕、孙明强、罗贤令

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杭州市富阳区第一人民医院 眼耳喉鼻口腔病区,浙江 杭州 311400

糖尿病视网膜病变 随访依从性 主动健康管理 影响因素 干预策略

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(4)