老年痛风性关节炎患者的诊治依从性状况研究  

Compliance status of diagnosis and treatment in elderly patients with gouty arthritis

作　　者：王来芳[1] 王亚强[2] 吴爱瑜[3] 丁艳杰[1] 张冰毅[1] 赵清[1] 

机构地区：[1]河南大学淮河医院风湿免疫科,河南开封475000 [2]河南大学淮河医院检验科,河南开封475000 [3]福建医科大学附属龙岩第一医院血液风湿科,福建龙岩364000

出　　处：《中国医药导报》2016年第7期16-19,共4页China Medical Herald

基　　金：河南省开封市科技发展计划项目(1403020)

摘　　要：目的了解老年痛风性关节炎患者的诊治依从性状况,探讨患者不依从的影响因素。方法选取2012年1月~2015年3月于河南大学淮河医院风湿免疫科住院的108例老年痛风性关节炎患者为研究对象,根据自制的诊治依从性量表分为不依从组（〈24分）和依从组（≥24分）,比较两组的基线资料及对痛风性关节炎的认知水平,采用多因素Logistic回归探讨患者发生不依从的影响因素。结果全部患者的诊治依从性量表总分为（22.9±7.3）分,其中总分〈24分者有68例,占63.0%,归为不依从组,其余40例归为依从组。多因素Logistic回归分析结果显示病程、认知水平是患者诊治依从性的独立影响因素（P〈0.05）。结论老年痛风性关节炎患者的诊治依从性状况不容乐观,认知水平降低会显著增高患者不依从的发生风险,提高疾病的认知是当前改善患者依从性和疾病预后的关键。Objective To know the compliance status of diagnosis and treatment in elderly patients with gouty arthritis,and investigate the related factors of non-compliance. Methods 108 elderly patients with gouty arthritis from January2012 to March 2015 in Department of Rheumatology, Huaihe Hospital of He′nan University were enrolled in the study and divided into non-compliance group（〈24 points） and compliance group（≥24 points） according to the homemade compliance scale of diagnosis and treatment. The baseline information and cognitive level of gouty arthritis were compared between two groups. Multivariate Logistic regression analysis was performed to investigate the related factors of non-compliance in elderly patients with gouty arthritis. Results The total score of homemade compliance scale was（22.9 ±7.3） points. The scores of 68 cases（63.0%） were less than 24 points and classified as non-compliance group while other 40 cases were classified as compliance group. The result of multivariate Logistic regression analysis showed that course of the disease and cognitive level were independent related factors of non-compliance in patients（P 〈0.05）. Conclusion The compliance status of diagnosis and treatment in elderly patients with gouty arthritis is not optimistic. Decreasing cognitive level can significantly increase the risk of non-compliance in patients, so improving the recognition of disease is key to improve the patients′ compliance and prognosis of disease.

关 键 词：老年痛风性关节炎 依从性 认知 

分 类 号：R592[医药卫生—老年医学]