Compliance and factors influencing the treatment of diabetes mellitus in patients with mental disorders in a tertiary general hospital in Nantong
10.3969/j.issn.1006-2483.2023.05.030
- VernacularTitle:精神障碍合并糖尿病患者治疗糖尿病的依从性及影响因素
- Author:
Yan WANG
1
;
Xing CHEN
2
;
Lingling CAO
1
;
Yuehong GAO
3
Author Information
1. Department of Endocrinology , Nantong Fourth People's Hospital , Nantong , Jiangsu 226000 , China
2. Department of Psychiatry , Nantong Fourth People's Hospital , Nantong , Jiangsu 226000 , China
3. Department of Nursing, Nantong Fourth People's Hospital , Nantong , Jiangsu 226000 , China
- Publication Type:Journal Article
- Keywords:
Mental disorder;
Diabetes mellitus;
Treatment compliance
- From:
Journal of Public Health and Preventive Medicine
2023;34(5):133-136
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the compliance and influencing factors of patients with mental disorders complicated with diabetes treatment in a third-class general hospital of Nantong City, and to provide theoretical basis for improving the compliance of patients with mental disorders complicated with diabetes treatment. Methods Among of 148 patients with mental disorders combined with diabetes admitted to our hospital from January 2021 to June 2022 were selected and divided into poor compliance group and good compliance group according to the investigation of diabetes treatment compliance. The blood glucose control of the two groups was compared, and clinical data of patients were collected from the medical record system. The independent risk factors affecting the compliance of patients with mental disorders and diabetes were analyzed. Results The levels of FBG, PBG and HbA1c in poor compliance group were significantly lower than those in good compliance group (P<0.05). The results showed that poor cognition of the disease (OR=2.649), paranoid psychosis (OR=0.371), low self-awareness and attitude score (OR=0.618), poor blood glucose control (OR=2.914) were independent risk factors affecting the compliance of patients with mental disorders and diabetes mellitus (P<0.05). Conclusion The compliance of patients with mental disorders combined with diabetes in the treatment of diabetes is not high and the control of blood sugar is not good. Mental health service outlets should be added to actively control the blood sugar of patients, focusing on paranoid mental patients and strengthening the publicity and education of guardians, which can improve the treatment compliance of patients and contribute to the prognosis of patients.
