类风湿关节炎患者用药依从性调查  

Surveyon the Clinical Compliance in Rheumatoid Arthritis Patients

作　　者：聂俊华[1] 向碧英[1] 

机构地区：[1]四川省简阳市医学科学院附属医院内一科,641400

出　　处：《中国医药指南》2009年第3期9-10,共2页Guide of China Medicine

摘　　要：目的了解门诊类风湿关节炎患者用药依从性现状,提出改善用药依从性的建议。方法采用问卷调查法,对163例门诊类风湿关节炎患者用药依从性进行调查。结果用药不依从比例达65.0%,以农民和退休人员中用药不依从率较高,分别为80.9%、76.1%。用药不依从的主要表现形式有停药、减量、调换其他药物等。用药不依从的主要原因有医师讲解不清、症状缓解、害怕药物不良反应、经济困难等。结论医师应多与患者沟通,加强用药指导。Objective To find out the present situnation of rheumatoid arthritis（RA） patients on clinical compliance and to improve the clinical compliance. Methods By questionnaire,163 cases of RA were studied on clinical compliance. Results The rate of non- clinical-compliance was 65.0%,the highest 80.9%,78.1% respectively among peasants and retired people. The main appearances of non- clinical-compliance showed： stop-taking medicine, Lowered medicine volume, Chang to other medicine, etc. The appearance including： indistinct explanation, relieved symptiom, threaded by the side-effect, ill-effect, economical, ect. Conclusions Phtsicians shoud put move energy in communicating with patients and enhance take-medicine guidance.

关 键 词：类凤湿关节炎 用药 依从性 医患沟通 

分 类 号：R593.22[医药卫生—内科学]