下肢静脉曲张患者弹力袜压力治疗的依从性及影响因素分析  

Compliance and influencing factors of stretch sock pressure therapy with varicose veins of lower extremities

作　　者：郑凯 王祺 李春民[1] 张望德[1] 任华亮[1] Zheng Kai;Wang Qi;Li Chunmin;Zhang Wangde;Ren Hualiang(Department of Vascular Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院血管外科,100020

出　　处：《中华全科医师杂志》2021年第10期1072-1076,共5页Chinese Journal of General Practitioners

基　　金：香港创新科技基金(ITP/041/19TP)。

摘　　要：对2020年2—3月首都医科大学附属北京朝阳医院血管外科门诊诊治的280例下肢静脉曲张患者采用弹力袜压力治疗,治疗1年后随访弹力袜的穿着时间情况、放弃使用和坚持使用的原因。治疗1年后有效随访208例(74.3%),其中依从性良好者(穿着弹力袜时间>50%)69例(33.2%),依从性不佳者139例(66.8%)。放弃使用的主要原因依次为感觉太紧绷(23.1%)、穿脱麻烦(17.7%)、病情好转(15.1%)、效果不佳(10.8%)等。提示下肢静脉曲张门诊患者弹力袜压力治疗的依从性较差,患者常因多种原因放弃使用弹力袜治疗。A total of 280 patients with varicose veins of lower extremities who were prescribed stretch socks as pressure therapy in the outpatient clinic of Beijing Chaoyang Hospital from September 2019 to November 2019 were included in the study.Among 280 patients 208 were followed up for one year(74.3%),139 cases(66.8%)gave up wearing stretch socks and 69 cases(33.2%)insisted to wear.The main reasons for giving up wearing were feeling too tight(23.1%),too much troubles(17.7%),symptom improvement(15.1%),poor effect(10.8%)and so on.The compliance of wearing stretch socks as pressure therapy in outpatients with varicose veins of lower extremities is poor with a variety of reasons,the data may provide a reference for improving clinical compliance in the future.

关 键 词：下肢静脉曲张 弹力袜 压力治疗 依从性 

分 类 号：R543.6[医药卫生—心血管疾病]