风湿性疾病住院患者治疗依从性影响因素及人文关怀策略研究  

Influencing Factors and Humanistic Care Strategies of Treatment Compliance in Hospitalized Patients with Rheumatic Diseases

作　　者：李欣[1] 郭妍 王敏 胡楠 王小琴[2] LI Xin;GUO Yan;WANG Min;HU Nan;WANG Xiaoqin(Department of Rheumatology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Xi'an Jiaotong University Health Science Center,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院风湿免疫科,陕西西安710061 [2]西安交通大学医学部,陕西西安710061

出　　处：《中国医学伦理学》2022年第9期1017-1022,1041,共7页Chinese Medical Ethics

基　　金：国家自然科学基金“NR1D2下调促进衰老相关分泌表型调控创伤性骨关节炎软骨前体细胞分化”(82102523)。

摘　　要：目的 了解风湿性疾病住院患者治疗依从性现状及其影响因素,为制定有针对性提高治疗依从性的措施提供依据。方法 采用便利抽样法,选取2021年2-6月在西安交通大学第一附属医院住院的488例风湿性疾病患者作为研究对象。采用一般资料调查表、风湿病治疗依从性问卷(CCQR)进行横断面调查,分析影响因素。结果 风湿性疾病住院患者CCQR评分为(71.52±11.43)分,其中114例(23.36%)患者评分≥80分,374例(77.64%)患者评分<80分;系统性红斑狼疮患者CCQR评分最高(73.14±11.37)分,强直性脊柱炎患者CCQR评分最低(68.45±13.00)分;多因素分析结果显示,性别、婚姻状况、职业状态、家庭收入是患者治疗依从性的主要影响因素(P<0.05)。结论 风湿性疾病住院患者治疗依从性偏低,其依从性主要受性别、婚姻状况、职业状态、家庭收入因素影响,医护人员应依据患者具体情况采取有效干预措施,实施人文关怀,提高患者疾病治疗依从性。Objective: To understand the status and influencing factors of treatment compliance in hospitalized patients with rheumatic diseases, and to provide the basis for formulating targeted measures to improve treatment compliance. Methods: From February 2021 to June 2021, a total of 488 hospitalized patients with rheumatic diseases in the First Affiliated Hospital of Xi’an Jiaotong University were selected as the research subjects by convenience sampling method. General information questionnaire and rheumatism treatment compliance questionnaire(CCQR) were used for cross-sectional investigation to analyze the influencing factors. Results: The CCQR score of hospitalized patients with rheumatic diseases was(71.52±11.43), of which 114(23.36%) patients scored ≥80 and 374(77.64%) patients scored<80. Patients with systemic lupus erythematosus had the highest CCQR score(73.14±11.37), and patients with ankylosing spondylitis had the lowest CCQR score(68.45±13.00). The results of multivariate analysis showed that gender, marital status, occupational status and family income were the main influencing factors of patients’ treatment compliance(P<0.05). Conclusions: The treatment compliance of hospitalized patients with rheumatic diseases is low, and its compliance is mainly affected by gender, marital status, occupational status and family income. Clinical medical staff should take effective intervention measures according to the specific situation of patients, implement humanistic care, and improve patients’ treatment compliance.

关 键 词：风湿性疾病 住院患者 治疗依从性 人文关怀 

分 类 号：R197.1[医药卫生—卫生事业管理]