基于结构方程模型探讨哮喘患者治疗依从性影响因素  

To explore the influencing factors of treatment compliance of asthma patients based on structural equation modeling

作　　者：李欣欣[1] 董丽敏[2] 刘晓英[3] 张岩波[1] 

机构地区：[1]山西医科大学卫生统计学教研室,山西太原030001 [2]太原钢铁(集团)有限公司总医院护理部,山西太原030008 [3]山西医科大学第二医院护理部,山西太原030001

出　　处：《中华疾病控制杂志》2017年第2期187-191,共5页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(81273180)

摘　　要：目的探讨结构方程模型在哮喘患者治疗依从性影响因素分析中的应用,为哮喘患者治疗依从性的改善提供依据。方法应用哮喘患者报告临床结局量表,对太原市366位哮喘患者进行调查。采用结构方程模型分析调查结果。结果结构方程模型分析:生理领域中,生理机能的改善,使治疗依从性提高。治疗满意度又是生理机能与治疗依从性的中间调节作用。心理领域中,恐怖、抑郁等不良心理状态的缓解,可引起患者治疗依从性提高。社会领域中,参与社会活动越多,获得社会支持越丰富,患者治疗依从性就越高。结论哮喘患者的生理机能、心理状况、社会活动、社会支持、治疗满意度均与治疗依从性有密切关系。关注哮喘患者,改善其生理机能,给予心理干预,创造活动交流机会,增加人文关怀,有助于治疗依从性的提高。Objective To explore the using of structural equation modeling for evaluating the treatment compliance of asthma patients and determining treatment compliance factors, so as to provide references improving treatment compli- ance. Methods 366 asthma patients were investigated with the Asthma-PRO instrument. Structural equation modeling was applied to establish the model about the above factors on the treatment compliance. Results The structural equation mod- eling found as the following. In physical domain, the improved＇physical function could increase treatment compliance, meanwhile satisfaction was a regulator between physical function and treatment compliance. In psychological domain , the reduction of negative psychology such as terror and depression could enhance the treatment compliance, In social domain, more social activities and supports lead to a better treatment compliance. Conclusions Physical function, psychological states, social activity, social support and satisfaction are closely related to treatment compliance. In order to increase treat- ment compliance, it is critical to improve physical function, afford mental intervention, create opportunity for exchange, in- crease the human care.

关 键 词：模型 统计学 哮喘 流行病学研究 

分 类 号：R256.12[医药卫生—中医内科学] R181[医药卫生—中医学]