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本研究は，外来通院中の2型糖尿病患者における治療中断の予測因子である治療満足度とセルフモニタリング力の関連性を明らかにすることを目的とした．セルフモニタリング力を説明変数，基本属性と治療状況を交絡因子，石井ら（2000）の糖尿病治療満足度質問表：DTSQのスコアを目的変数として，ロジスティック回帰分析を行った．
対象者244名の平均年齢は65.9（SD，11.2）歳，男性60.2％，女性39.8％，平均HbA1c（NGSP）値7.62（SD，1.22）％．治療中断意思ありのカットオフ値とされるDTSQスコア22.5点を基準として2群化した，治療満足度低値群は34.4％，高値群は65.6％であった．多変量解析の結果，治療満足度の高値にはセルフモニタリング力が有意に関連していた（OR，1.14；95％CI，1.07—1.23）．2型糖尿病患者の通院中断予防のために，治療満足度の維持・向上とセルフモニタリング力を支援することが重要である．
BACKGROUND：In Japan, the annual rate of treatment interruption among patients with type 2 diabetes mellitus (T2DM) is approximately 8%. Complications often develop and progress when treatment is resumed；hence, countermeasures are required urgently. In T2DM, treatment satisfaction is associated with prevention of treatment interruption. Therefore, factors that increase patient satisfaction in T2DM management should be identified.
AIMS：This study aimed to define the predictable relationship between treatment satisfaction and self-monitoring ability in outpatients with T2DM.
METHODS：In a general hospital in Japan, we collected outpatient data through a questionnaire survey and the electronic medical records database. Factors associated with treatment satisfaction were identified using multivariate logistic regression analysis. The Research Ethics Committee of the hospital approved our study protocol.
RESULTS：We enrolled 244 patients (mean age, 65.9±11.2 years；male, 60.2%；female, 39.8%；mean HbA1c value, 7.62%±1.22%), with 160 (65.6%) classified as the high-value group and 84 (34.4%) as the low-value group in terms of satisfaction. Self-monitoring ability was the factor that independently correlated with high treatment satisfaction (odds ratio [OR], 1.14；95% confidence interval [CI], 1.07-1.23).
CONCLUSIONS：Supporting self-monitoring ability is important for high treatment satisfaction among patients with T2DM.
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