Status quo of treatment adherence and its influential factors in community management of patients with chronic diseases in Nanjing
10.3969/j.issn.1006-2483.2024.05.037
- VernacularTitle:南京地区社区管理慢性病患者治疗依从性现状及影响因素
- Author:
Jinhui AN
1
;
Hongchao GE
2
;
Qi QI
3
;
Qianqian LI
4
Author Information
1. Department of Family Medicine , Nanjing Jiangning Hospital , Nanjing , Jiangsu 211100 , China
2. Department of Gastroenterology , Qixia District Hospital , Nanjing , Jiangsu 210046 , China
3. Department of Family Medicine , Guli Street Community Health Service Center , Jiangning District , Nanjing , Jiangsu 211100 , China
4. Department of Family Medicine , Zhetang Central Health Center , Lishui District , Nanjing 211200 , China
- Publication Type:Journal Article
- Keywords:
Community management;
Chronic disease;
Treatment adherence
- From:
Journal of Public Health and Preventive Medicine
2024;35(5):155-158
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the status quo of treatment adherence and its influencing factors in community management of patients with chronic diseases in Nanjing. Methods A total of 673 patients with chronic diseases managed by community health service centers in Nanjing were selected. The general data of the study subjects were collected. MMAS-8 Scale, the Chinese version of WHQOL-BREF and PSS-Fa were used to evaluate the treatment adherence, quality of life and family support level. Pearson correlation was used to analyze the correlation between MMAS-8 score and WHQOL-BREF Chinese version and PSS-Fa score, and logistic regression analysis was used to investigate the influencing factors of treatment adherence. Results The MMAS-8 score was positively correlated with WHQOL-BREF Chinese version psychological and social management domain score and PSS-Fa score , logistic regression analysis results suggested that > 65 years of age (OR =1.723) was a risk factor for poor treatment adherence, undergraduate and above education level (OR = 0.582), annual family income > 80 000 yuan (OR = 0.603), comorbidity of chronic diseases (OR = 0.718), better overall evaluation of their own quality of life (OR = 0.547) , and high family support level (OR = 0.619) were protective factors for poor treatment adherence, and the above differences were statistically significant (P < 0.05) . Conclusion There is still room to improve the treatment adherence of patients with chronic diseases in community management in Nanjing . It is necessary to focus on elderly patients, strengthen the education of patients with single chronic diseases and improve the quality of life and family support level of patients.
