门诊青少年期癫疒间患者服药依从性的现状及影响因素分析

发布时间：2018-12-24 16:32

【摘要】：目的调查门诊青少年期癫疒间患者服药依从性状况,分析其影响因素。方法采用一般资料调查表、服药信念量表、服药依从性问卷、焦虑自评量表,对北京市某三级甲等医院小儿神经科的167例门诊青少年癫疒间患者进行调查,采用多元线性回归分析服药依从性的影响因素。结果 167例门诊青少年期癫疒间患者的服药依从性总分为(10.31±3.18)分,其中有65例为高度依从,占38.9%;71例为中度依从,占42.5%;31例为低度依从,占18.6%。多元线性回归结果显示:发作次数、服药必要性、服药顾虑得分以及焦虑自评得分进入回归方程(P0.01)。结论门诊青少年期癫疒间患者服药依从性处于较低水平,癫疒间发作次数、服药必要性、服药顾虑得分以及焦虑自评得分是青少年期癫疒间患者服药依从性的主要影响因素。医护人员可多鼓励患者说出自己内心的真实想法,对于其困惑的问题进行解释说明;讲解药物的作用及其相对不良反应,消除患者的焦虑情绪;多介绍成功案例,帮助其建立战胜病魔的决心。从而,提高门诊青少年期癫疒间患者的服药依从性。
[Abstract]:Objective to investigate the drug compliance of adolescent epileptic patients in outpatient clinic and analyze its influencing factors. Methods A total of 167 outpatients with epilepsy in pediatric neurology department of Grade 3A Hospital in Beijing were investigated by general information questionnaire, medication belief scale, drug compliance questionnaire and self-rating anxiety scale. Multiple linear regression analysis was used to analyze the influencing factors of drug compliance. Results the total score of drug compliance was (10.31 卤3.18) in 167 outpatients with adolescent epilepsy, of which 65 cases were high compliance (38.9%), and 71 cases (42.5%) were moderate compliance. 31 cases were low compliance, accounting for 18.6%. The results of multiple linear regression showed that the number of seizures, the necessity of taking medicine, the scores of anxiety and anxiety entered the regression equation (P0.01). Conclusion the drug compliance of adolescent epileptic patients in outpatient clinic is at a low level. The frequency of epileptic seizures, the necessity of taking medicine, the scores of drug anxiety and self-evaluation of anxiety are the main influencing factors of drug compliance of adolescent epileptic patients. Doctors and nurses can encourage patients to speak out their true thoughts, explain their puzzles, explain the role of drugs and their relative adverse reactions, and eliminate the anxiety of patients. Introduce more successful cases and help them build up their determination to overcome the disease. As a result, the compliance of epileptic patients with epilepsy in outpatient clinic was improved.
【作者单位】：北京大学第一医院儿科;
【基金】：2016年北京大学第一医院院级科研基金(2016HL01)
【分类号】：R473.74

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