哮喘依从性及对策  

The Compliancy and countenneasures of Asthma

作　　者：白勇为[1] 王勇 

机构地区：[1]江苏省海门市人民医院,江苏226100 [2]江苏省海门中医院

出　　处：《医学研究通讯》2000年第3期44-45,共2页Bulletin of Medical Research

摘　　要：研究报告哮喘患者执行医嘱的依从性及有关对策。选择门诊哮喘患者84例,(1)采用调查问答实际用药次数,称量残存药物的剂量方法,经计算得出不依从和过度依从。(2)随机分成两组,A组给予委托一名家庭成员全程监控督导,B组不采取任何特殊处理,一月后统计不依从率并作X^2检验。结果(1)84例患者用药不依从率60.71％,过度依从率13.09％;(2)A组不依从率16.66％,B组不依从率54.76％,两组比较有显著差异(P<0.01)。哮喘患者对治疗的不依从性及过度依从是常见的,采用全程督导用药是有效的对策。Objective this article was written for researching and reporting the compliancy patients of asthma to medical orders and the related countermeasures. method 1 . We selected 84 outpatients of bronchial asthma, inquired into the actual times of taking medicine, weighed the residual dose, and then judged who was non - adherence and who was over - adherence . 2. All cases were divided randomly into two groups (group A and group B), patients in group A were treated under supervision of a entrusted member of their family in whole treatment course, but patients in group B were not given any special deals. After one month we calculated the rate of non - adherence and made a chi square test. Result 1. The rate of non - adherence of 84 cases was 60. 71 % , the rate of over - adherence was 13 . 09% . 2. Between two groups the rate of non - adherence (group A 16. 66%, group B 54. 76%) revealed statistical significance (P<0. 01). Conclusion Non - adherence and over - adherence in patients of asthma were common. The effective Countermeasure was treatment under supervision in whole course.

关 键 词：哮喘 依从性 对策 治疗 全程督导用药 

分 类 号：R562.250.5[医药卫生—呼吸系统]