出院后痛风患者诊断治疗依从性的相关因素分析

发布时间：2018-03-28 15:34

本文选题：痛风　切入点：随访研究　出处：《重庆医学》2017年05期

【摘要】：目的探究出院后痛风患者诊断治疗依从性的相关因素,以期能为后期临床治疗提供参考。方法选取2012年8月至2016年2月该院收治的390例住院治疗的痛风患者为研究对象,对所有患者进行电话随访,了解其出院后诊断治疗依从性,并探究出院后痛风患者诊断治疗依从性的相关因素。结果 390例痛风患者出院后诊断治疗依从性平均评分为(3.93±1.78)分。其中117例(30.00%)患者评分大于或等于6分,为依从者;273例(70.00%)患者评分小于6分,为不依从者。病程、文化程度、痛风发作频率、婚姻状况和医疗费用支付方式与出院后痛风患者诊断治疗依从性有密切相关性(P0.05)。病程长、文化程度低、医疗费用支付方式为自费是出院后痛风患者诊断治疗依从性不良的独立危险因素(P0.05)。结论应当加强对病程长、文化程度低、自费患者出院后的监测和随访,以改善患者出院后的诊断治疗依从性,为后期临床治疗提供参考。
[Abstract]:Objective to investigate the factors related to the diagnosis and treatment compliance of patients with gout after discharge, so as to provide a reference for later clinical treatment. Methods 390 patients with gout admitted in our hospital from August 2012 to February 2016 were selected as study subjects. All patients were followed up by telephone to understand their compliance in diagnosis and treatment after discharge. Results the mean score of diagnosis and treatment compliance of 390 patients with gout after discharge was 3.93 卤1.78, and 117 patients with gout had a score greater than or equal to 6 points. In 273 patients with compliance, the score was less than 6, which was not dependent. The course of disease, education level, frequency of gout attack, marital status and payment of medical expenses were closely related to the compliance of diagnosis and treatment of patients with gout after discharge (P 0.05). The medical expense payment method is the independent risk factor for the diagnosis and treatment of poor compliance of gout patients after discharge from hospital (P 0.05). Conclusion the monitoring and follow-up of the patients with long course of disease, low education level and self-funded patients after discharge should be strengthened. To improve the compliance of diagnosis and treatment after discharge, and to provide reference for later clinical treatment.
【作者单位】：南方医科大学南方医院风湿免疫科;
【基金】：国家自然科学基金资助项目(81172875)
【分类号】：R589.7

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