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目的 观察溃疡病人对医嘱的顺从性状况 ,以及行为干预对医嘱顺从性及其疗效的影响。方法 采用同时性、前瞻性方法 ,调查溃疡病 11983例 ,了解不同年龄、职业、文化背景及地域对医嘱的顺从性 ,并在给予行为干预后 ,观察病人医嘱顺从性的改变及其对疾病转归的影响。结果 溃疡病病人对医嘱的顺从率为 47.1% ;对医嘱顺从者的溃疡治愈率为 97.4% ,而不顺从者的治愈率仅为 5 8.8% ,医嘱的顺从性对疗效影响显著 (P <0 .0 1) ;行为干预后病人的顺从性及疗效无明显提高 ;溃疡病的年发病率约为 0 .81‰ ,男女之比为 3.6∶1,高峰年龄为 30～ 49岁 ,十二指肠球部溃疡与胃溃疡之比为 1.9∶1,幽门螺杆菌 (Hp)阳性率为 73.8%。 结论 医嘱的顺从性对疗效有显著影响。本调查同时获得了大量有关国人医嘱顺从性资料和溃疡病的临床统计学资料。
Objective To observe the compliance of patients with ulcer to doctor’s advice and the influence of behavioral intervention on doctor’s compliance and its efficacy. Methods A total of 11983 cases of ulcer disease were investigated by means of simultaneous and prospective methods to understand the obedience to doctor ’s orders of different ages, occupations, cultural backgrounds and geographical areas. After behavioral interventions were observed, compliance changes of patients’ orders were observed, The impact of the return. Results The compliance rate of patients with ulcer disease was 47.1%. The ulcer cure rate was 97.4% for those who obey orders and only 8.88% for those who did not. The obedience of doctors’ orders had a significant effect on the therapeutic effect (P0.01) .0 1). The patient’s compliance and curative effect did not increase significantly after behavioral intervention. The annual incidence of ulcer disease was about 0.81 ‰, the ratio of male to female was 3.6:1, and the peak age was 30 to 49 years old. The ratio of intestinal ulcer to gastric ulcer was 1.9: 1, and the positive rate of Helicobacter pylori (Hp) was 73.8%. Conclusion The compliance of doctor’s order has a significant effect on the curative effect. The survey also obtained a large number of people’s compliance orders and ulcer disease clinical statistics.