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目的:探讨影响癫痫患者治疗依从性的因素分析及干预策略。方法:选取2008年06月-2013年06月在本院住院142例癫痫患者,男86例,女56例。应用癫痫患者服药依从性评估问卷对患者进行调查。结果:服药依从性好的54例占38.03%;依从性差的88例,占61.97%。其中38例(26.76%)没有规律服药,随意增减药量和(或)漏服;32例(22.54%)自认为治疗效果不好擅自换药;12例(8.5%)规律服药控制发作半年-2年后未复查规范化停药自行停药;6例抗癫痫药物控制无发作但出现头晕、纳差等不良反应患者及家属未复诊自行换药。结论:良好的服药依从性是控制癫痫发作的关键。
Objective: To explore the factors influencing the treatment compliance of epilepsy patients and intervention strategies. Methods: 142 cases of epilepsy were hospitalized in our hospital from June 2008 to June 2013, including 86 males and 56 females. Patients were investigated using the medication adherence assessment questionnaire for patients with epilepsy. Results: Good medication compliance 54 cases accounted for 38.03%; 88 cases of poor compliance, accounting for 61.97%. Among them, 38 cases (26.76%) did not receive medication regularly and were free to increase or decrease the dosage and / or omission; 32 patients (22.54%) considered that the treatment was ineffective and that 12 patients (8.5% - 2 years after the withdrawal of normative withdrawal without stopping; 6 cases of antiepileptic drugs to control seizures but no dizziness, anorexia and other adverse reactions in patients and their families without referral self-dressing. Conclusion: Good medication adherence is the key to controlling seizures.