Study On Compliance And Influence Factors Of The Re-hospitalized Patients With Diabetes Mellitus

Objective: To investigate the treatment compliance of the re-hospitalized patients with diabetes mellitus, and explore the associated factors and the extent of their influences on treatment compliance.Methods: A random sampling method was used in this study. One hundred and seven diabetic firstly-hospitalized inpatients and 194 diabetic re-hospitalized inpatients were investigated from April 2006 to September 2006. All the patients, whose illnesses were definitely diagnosed as diabetes mellitus, came from seven inpatient departments of general hospitals in Changsha city Hunan province. Five instruments were used for data collection: Individual Information Sheet was used to collect the subjects' demographic information; Treatment Compliance Questionnaire was used to assess the subjects' treatment compliance. The Questionnaire of Basic Knowledge of Diabetes Mellitus and Health Belief and the Scale of Social Support were used to measure the level of the subjects' knowledge about diabetes mellitus, health belief and social support respectively. Data on treatment compliance,basic knowledge of diabetes mellitus,health belief and social support were used for comparative study between the firstly-hospitalized inpatients group and the re-hospitalized inpatients group. The Statistical Package for Social Science (SPSS) 11.5 was used for the descriptive analysis of ANOVA, t-test, chi-square, Logistic stepwise regression and Pearson correlation analysis.Results: 1. The results of 2 samples t-test on treatment compliance showed a different total average score, "exercise" and "self-monitoring" were found to be of statistical significance between the firstly-hospitalized inpatients group and the re-hospitalized inpatients group (P< 0.05) . Among the average scores, the highest score was found in medical treatment, and the score of periodic check-up was lowest. 2. The analysis of the Questionnaire of Basic Knowledge of Diabetes Mellitus was conducted by 2 samples t-test. It indicated that there are difference average score of statistical significance between the firstly-hospitalized inpatients group and the re-hospitalized inpatients group (P<0.001).3. The chi-square analysis on the subjects' health education of diabetes mellitus also showed a statistical significance between the firstly-hospitalized inpatients group and the re-hospitalized inpatients group (P<0.001).4. The results of logistic regression analysis indicated that health belief, social support, education, age, economic level, knowledge level about diabetes mellitus were the main factors related to treatment compliance of the patient with diabetes mellitus. Their logistic coefficients were1.145, 0.641,-0.550, 0.541, 0.493, 0.465 respectively. Among them, the strongest influential factor was health belief.Conclusions: 1.treatment compliance of the re-hospitalized inpatients was better than the firstly-hospitalized inpatients and total average score, score of "exercise" "self-monitoring" of re-hospitalized inpatients were higher than firstly-hospitalized inpatients. Among the five indexes of treatment compliance for the re-hospitalized inpatients, score of index "compliance of medical treatment" was the highest ,and the following order was: "diet control" "exercise" "self-monitoring" and "periodic check-up".2. Knowledge level of the re-hospitalized inpatients with diabetes mellitus was better than the firstly-hospitalized inpatients.3. Health education of the re-hospitalized inpatients with diabetes mellitus was better than the firstly-hospitalized inpatients.4. The main influential factors of the re-hospitalized inpatients with diabetes mellitus were health belief, social support, education level, age, salary, and knowledge level.