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目的:探讨口腔扁平苔藓患者药物依从性和饮食依从性,分析其影响因素。方法 :采用横断面取样,使用自制问卷调查表以及Morisky量表收集309例口腔扁平苔藓(OLP)患者的数据信息,采用SPSS16.0软件包对数据进行统计学分析。结果:口腔扁平苔藓患者饮食依从率为89%,药物依从率为55.02%。与患者的饮食依从性相关的因素为对疾病的认知水平和不良饮食习惯,未发现与药物依从相关的因素。阻碍患者遵医用药的3大原因分别是药物使用不便、忘记用药以及担心药物的副作用。结论:患者治疗依从性受多种因素的影响,需要政府、医务工作者及患者共同努力,建立有效的口腔扁平苔藓患者疾病管理机制。
Objective: To investigate drug compliance and diet compliance in patients with oral lichen planus and to analyze its influential factors. Methods: The data of 309 patients with oral lichen planus (OLP) collected by cross-sectional sampling, self-made questionnaire and Morisky scale were collected. The data were analyzed by SPSS16.0 software package. Results: The diet compliance rate was 89% in oral lichen planus and the drug compliance rate was 55.02%. The factors associated with the patient’s dietary compliance were the cognitive level of the disease and poor eating habits, and no factors associated with drug adherence were found. The three main reasons that prevented patients from taking medications were inconvenience of drug use, forgetting medication, and worrying about the side effects of medications. Conclusion: Patient compliance is influenced by many factors and requires the government, medical workers and patients to work together to establish an effective disease management mechanism for patients with oral lichen planus.