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目的:研究儿童哮喘治疗过程中依从性相关影响因素,为临床治疗提供参考。方法:随机选取笔者所在医院2012年2月-2014年1月门诊及住院部诊治的哮喘患儿267例,作为本次试验的研究对象。根据是否遵循医嘱长期吸入糖皮质激素治疗,分为依从组143例,非依从组124例。采用调查问卷的方式,分析影响患儿治疗依从性的影响因素。结果:依从组143例中108例患儿完全缓解,完全缓解率为75.52%;非依从组124例中17例患儿完全缓解,完全缓解率为13.71%。两组完全缓解率具有显著性差异(P<0.05)。对比两组患儿哮喘治疗依从性影响因素,见表1。影响治疗依从性最显著的因素是哮喘发作的常见诱因、坚持长期治疗,其次是患儿配合治疗。对治疗依从性影响最小的因素是家庭经济状况。数据差异具有统计学意义(P<0.05)。结论:增加儿科医师用药掌握程度,提高患儿家长对药物以及疾病的认识,有效减小干扰治疗依从性的因素。
Objective: To study the influencing factors of compliance in childhood asthma treatment and to provide reference for clinical treatment. Methods: Totally 267 asthmatic children diagnosed and treated in our hospital from February 2012 to January 2014 were enrolled in this study. According to whether to follow the doctor’s advice long-term inhaled glucocorticoid treatment, divided into compliance group 143 cases, 124 cases of non-compliance group. The questionnaire was used to analyze the influencing factors of treatment adherence in children. Results: In the 143 cases of compliance group, 108 cases were completely relieved and the complete remission rate was 75.52%. In the non-compliance group, 17 cases were completely relieved and the complete remission rate was 13.71%. The complete remission rate was significantly different between the two groups (P <0.05). Comparison of two groups of children with asthma treatment compliance factors, Table 1. The most significant contributor to treatment adherence is a common cause of asthma attacks, insisting on long-term treatment, followed by children with treatment. The least relevant factor for treatment adherence is the family’s economic status. Data differences were statistically significant (P <0.05). Conclusion: To increase pediatricians mastery of medication, improve the parents of children’s awareness of drugs and diseases, effectively reduce the interference of treatment compliance factors.