ブラジルの初等保健医療センターの高齢者における2型糖尿病に対する宗教性と薬物療法への従順性
Anelize Roveri Arcanjo Godoy1, Laercio Joel Franco1, Edson Zangiacomi Martinez1
1Postgraduate Program in Public Health, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
Journal of religion and health
|September 4, 2025
まとめ
2型糖尿病の高齢者における宗教的な側面は,薬の服用に大きく影響する. 精神的ケアを治療計画に組み込むことで,初等保健医療施設での薬剤治療の順守が改善されます.
科学分野:
- ゲロントロジー
- 内分泌学
- 公衆衛生
背景:
- 2型糖尿病 (T2DM) は,特に高齢者の間で,世界的な健康上の懸念が高まっています.
- T2DMの管理と合併症の予防には,薬物療法の遵守が不可欠です.
- 薬の服用に伴う健康行動における 宗教性の役割は 多様な集団におけるさらなる調査を正当化しています
研究 の 目的:
- 高齢のT2DM患者における宗教性の次元と薬物療法の遵守の間の関連性を分析する.
- 組織的,非組織的,そして内在的な宗教性による 薬の服用に及ぼす影響を調査する.
- T2DMの管理に精神的なケアを統合する臨床実務を伝える.
主な方法:
- ブラジルの初等保健医療センターに通う338人の高齢者を対象とした横断的な研究.
- 簡潔な薬剤のアンケートを使用して薬剤の遵守を評価した.
- デューク宗教指数を用いて測定した宗教性.
主要な成果:
- 整体的に投与順守率は52. 4%でした.
- 団結と組織的な宗教性 (p=0.02),非組織的な宗教性 (p<0.01),および内在的な宗教性 (p<0.01) の間に重要な関連性が見つかりました.
- 参加者の半数以上が糖尿病に関連する合併症を報告し,一般的な治療にはメトホルミンとインスリンが含まれていました.
結論:
- 高齢のT2DM患者における薬剤治療の順守に影響を与える重要な要因である.
- 主要なケアに 精神的・宗教的な要素を 組み込むことで 患者の整体的なケアを 強化できます
- 医療提供者は2型糖尿病の治療計画を作成する際に患者の宗教性を考慮する必要があります.
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