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目的:对住院肺结核患者的药物依从性现状进行调查和分析。方法:采用Morisky药物依从性问卷对80例住院肺结核患者进行调查,观察多种因素对肺结核患者药物依从性的影响,用卡方检验,秩相关及多因素的Logis-tic回归分析进行统计处理。结果:多数住院肺结核患者的药物依从性不佳,占总数的65%;单因素分析示患者的民族、费用支付方式、病程、学历对药物依从性有影响;多元回归分析示民族是影响药物依从性的主要因素。结论:藏族患者是药物依从性不佳的高危人群,应重视与患者的有效沟通,有针对性地加强宣传教育工作,合理指导用药,提高患者的药物依从性。
Objective: To investigate and analyze the status of drug compliance in hospitalized patients with pulmonary tuberculosis. Methods: Morisky drug compliance questionnaire was used to investigate 80 hospitalized patients with pulmonary tuberculosis. The effects of various factors on drug compliance in patients with pulmonary tuberculosis were observed. Statistical analysis was performed using Logistic regression analysis with chi-square test, rank correlation and multivariate analysis. Results: The majority of hospitalized tuberculosis patients had poor drug compliance, accounting for 65% of the total. Univariate analysis showed that patients’ ethnicity, payment methods, course of disease and education had an impact on drug compliance. Multivariate regression analysis showed that ethnicity influenced drug compliance The main factor of sex. Conclusion: Tibetan patients are at high risk of poor drug compliance and should pay attention to effective communication with patients, strengthen publicity and education in a targeted manner, and guide drug use rationally to improve the drug compliance of patients.