强直性脊柱炎患者治疗依从性现状及影响因素研究  

Treatment Compliance of Patients with Ankylosing Spondylitis and Its Influencing Factors

作　　者：吴清香[1] 亓英[1] 周陶[1] 胡梦萍[1] 吴鸣[1] 

机构地区：[1]北京大学深圳医院质控院感科,广东省深圳市518036

出　　处：《中国全科医学》2013年第26期3041-3044,共4页Chinese General Practice

基　　金：深圳市科技计划项目(201102012)

摘　　要：目的了解强直性脊柱炎患者治疗依从性现状及其影响因素。方法对2011年3月—2012年3月在我院风湿免疫科门诊就诊的200例强直性脊柱炎患者建立门诊健康档案,同时进行治疗依从性测评,并对不依从原因进行调查。结果 200例强直性脊柱炎患者中依从性良好者54例(占27%),依从性差或不依从者146例(占73%)。单因素分析结果显示,依从性良好者和依从性差或不依从者在性别、婚姻、职业、家庭人均月收入方面,差异有统计学意义(P<0.05);对强直性脊柱炎患者治疗依从性的影响因素进行Logistic回归分析结果显示,性别及职业进入回归方程。依从性差的原因排序为治疗因素、自身因素、知识缺乏、医患关系欠和谐、家属不支持。结论 AS患者治疗依从性低,其依从性高低与诸多因素有关,医务人员应针对患者的具体情况,实施有针对性的干预措施以提高其依从性。Objective To understand the treatment compliance of patients with ankylosing spondylitis （AS） and its in- fluencing factors. Methods Treatment compliance was assessed in 200 AS patients visiting Department of Rheumatism Immunity of this hospital from March 2011 to March 2012, and the reasons for non - compliance analyzed. Results In 200 AS patients, 54 had good compliance （27%）, 146 had bad or non -compliance （73%）. By univariate analysis, there was significant difference in gender, marital status, occupation, family monthly income between patients with good compliance and those with bad or non - compliance （ P 〈 0. 05 ）. By multivariate analysis, gender and occupation entered into the regression equation. The reasons for bad compliance were, in proper order, treatment factors, patients＇ own factors, lack of knowledge, less harmo- nious doctor- patient relationship, their family＇s nonsupport. Conclusion AS patients have bad treatment compliance, which is related to many factors. Medical staff should give them targeted interventions based on their specific circumstances, to improve their compliance.

关 键 词：脊柱炎 强直性 治疗依从性 影响因素 

分 类 号：R681.51[医药卫生—骨科学]