腰椎间盘突出症患者治疗依从性的影响因素分析  

Influenced factors of treatment compliance of patients with lumbar disc herniation

作　　者：刘莉[1] 张传志[1] LIU Li;ZHANG Chuanzhi(Department of Orthopedics,Chongqing Traditional Chinese Medicine,Chongqing 400011,China)

机构地区：[1]重庆市中医院骨科,重庆400011

出　　处：《检验医学与临床》2020年第7期942-945,共4页Laboratory Medicine and Clinic

摘　　要：目的通过问卷调查了解腰椎间盘突出患者治疗的依从性,分析其治疗依从性的影响因素,探讨提高患者治疗依从性的方法。方法参考有关文献及量表设计腰椎间盘突出症患者服药及功能锻炼依从性问卷调查表。对304例腰椎间盘突出症患者的治疗依从性及其影响因素进行分析。结果腰椎间盘突出症患者中服药高度依从患者占22.70%,低度依从患者占37.83%。功能锻炼高度依从患者占20.39%,低度依从患者占30.26%。年龄、学历、腰痛、下肢疼痛或麻木、肌力等级是影响患者服药依从性的重要因素(P<0.05)。年龄、学历、家庭月收入、腰痛、下肢疼痛或麻木、肌力等级、病因及发病机制解释、功能锻炼方法介绍是影响患者功能锻炼依从性的重要因素(P<0.05)。结论腰椎间盘突出症患者服药和功能锻炼依从性均较差,对低收入、文化程度较低的患者应强调功能锻炼必要性和有效性,而对收入较高、文化程度较高的患者应加强按医嘱服药的宣教。Objective To investigate the treatment compliance of patients with lumbar disc herniation by questionnaire,to analyze the influencing factors of treatment compliance,and to explore the methods to improve the treatment compliance of patients.Methods A questionnaire on compliance with medication and functional exercise in patients with lumbar disc herniation was designed according to the relevant literature and scale.The compliance and influencing factors of 304 patients with lumbar disc herniation were analyzed.Results The high compliance and low compliance of patients with lumbar disc herniation accounted for 22.70%and 37.83%respectively.The high compliance of functional exercise accounted for 20.39%,and the low compliance accounted for 30.26%.The compliance of medication in patients with lumbar disc herniation was affected by their age,education,monthly family income,lumbago,pain or numbness lower limbs and muscle strength grade(P<0.05).The high compliance of functional exercise was affected by their age,education,monthly family income,lumbago,pain or numbness lower limbs and muscle strength grade,the etiology and pathogenesis and the method of functional exercise(P<0.05).Conclusion The compliance of patients with lumbar disc herniation is poor in both medication and functional exercise.For the patients with low income and low educational level,the necessity and effectiveness of functional exercise should be emphasized,while the patients with higher income and higher educational level should strengthen the propaganda and education of taking medicine according to doctor′s orders.

关 键 词：腰椎间盘突出症 治疗 依从性 影响因素 问卷调查 

分 类 号：R681[医药卫生—骨科学]