初发与复发溃疡性结肠炎院外治疗依从性的调查与分析

发布时间：2018-04-25 03:32

本文选题：结肠炎 + 溃疡性　；参考：《西部中医药》2017年02期

【摘要】：目的:探讨溃疡性结肠炎初次发病和多次发病患者出院后饮食和药物治疗依从性的差异,了解溃疡性结肠炎复发率与治疗依从性的关系。方法:通过对181例溃疡性结肠炎初次发病与多次发病患者出院后1年的跟踪随访,以问卷调查表和门诊复诊所得资料,分析初次发病和多次发病患者饮食和药物治疗依从性的差异,并分析治疗依从性好坏与1年内累计复发率的关系。结果:饮食和药物治疗依从性好和总依从性好的比率初次发病患者明显少于多次发病患者,差异有统计学意义(P0.05);1年内累计复发率初次发病患者明显高于多次发病患者(P0.05)。结论:多次发病患者因反复多次发病,有长期痛苦体验,希望疾病早日消除的愿望极大,因而能严格执行医嘱,有良好的治疗依从性;初次发病患者因只发病1次,痛苦体验少,故出院后治疗依从性通常较差;同时溃疡性结肠炎的复发率与治疗依从性的好坏呈负相关。
[Abstract]:Objective: to explore the difference of diet and drug therapy compliance in patients with ulcerative colitis after discharge from hospital, and to understand the relationship between recurrent rate of ulcerative colitis and therapeutic compliance. Methods: 181 patients with ulcerative colitis were followed up for 1 year after discharge from hospital. To analyze the difference of dietary and drug treatment compliance between primary and multiple onset patients, and to analyze the relationship between therapeutic compliance and cumulative recurrence rate in one year. Results: the rates of good compliance of diet and drug therapy and good total compliance were significantly lower in the first onset patients than in the multiple onset patients, the difference was statistically significant (P 0.05), and the cumulative recurrence rate in the first year was significantly higher than that in the multiple onset patients (P 0.05). Conclusion: the patients with multiple diseases have long-term painful experience because of repeated and repeated attacks, and they hope that the disease will be eliminated as soon as possible, so they can strictly carry out the doctor's orders and have good treatment compliance. Because of less painful experience, the treatment compliance is usually poor after discharge, and the recurrence rate of ulcerative colitis is negatively correlated with the treatment compliance.
【作者单位】：华中科技大学同济医学院附属荆州医院消化内科;
【分类号】：R259

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