Analysis of medication and glycemic control of patients with type 2 diabetes under chronic disease management in Xi'an pharmacies
10.12173/j.issn.1005-0698.202304126
- VernacularTitle:西安市药店慢病管理的2型糖尿病患者用药和血糖控制情况分析
- Author:
Xiaoying ZHU
1
;
Biqi REN
;
Xinyue SU
;
Shuang LEI
;
Shuzhi LIN
;
Wei LIU
;
Bianling FENG
Author Information
1. 西安交通大学药学院药事管理学系/药物安全与监控研究所(西安 710061)
- Keywords:
Type 2 diabetes;
Medication;
Blood glucose control;
Chronic disease management
- From:
Chinese Journal of Pharmacoepidemiology
2024;33(2):184-193
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the medication and blood glucose control of type 2 diabetes patients under chronic diseases management in Xi'an chain pharmacies,and provides reference for improving the management policy of diabetes at grassroots level.Methods A number of chain pharmacies in the sixth district of Xi'an were selected by random sampling method,and on-site interviews were conducted by questionnaire survey to patients with type 2 diabetes under the management of chronic diseases.The basic information of patients,medication status(medication plan,drug adherence,etc.),diabetes-related conditions(blood glucose status,family history,course and complications,etc.)were collected.Multivariate logistic regression was used to analyze the relevant factors of blood glucose control in patients.Results A total of 403 patients were surveyed,the largest number of patients use oral hypoglycemic drugs alone(53.4％),followed by insulin medication(including insulin only and insulin in combination with oral hypoglycemic drugs)(35.7％),and the differences between disease course and glycemic control among patients with different drug regimens were statistically significant(P＜0.05).Only 43.7％of patients had good medication compliance.In addition,the patient's fast plasma glucose compliance rate was only 39.2％.The results of multivariate logistic regression analysis showed that good medication compliance(OR=1.744,95％CI 1.104 to 2.754,P=0.017)were independent influencing factors for achieving glycemic control.Conclusion The medication compliance of type 2 diabetes patients with poor blood glucose control in chronic disease management of chain pharmacies in Xi'an needs to be strengthened.Pharmacies should emphasize and give full play to the professional and service advantages of pharmacists to realize the functional role of pharmacies and strengthen diabetes management.
