门诊失眠患者治疗依从性影响因素的研究

The study on the influence factors of cure co-operation in insomnia outpatients

目的 研究影响失眠患者治疗依从性的相关因素 ,从而提高失眠的治愈率。方法 用焦虑自评量表 (SAS)和抑郁自评量表(SDS)及自制调查表对研究对象进行评定和调查并进行面询 ,对结果进行统计分析。结果 年龄≤35岁和≥55岁的失眠患者对治疗的依从性明显好于36～54岁者 (p<0.05) ;病程1年以内者的依从性好于1年以上者 ,且病程越短依从性越好 ,反之则越差 ,以病程短于6个月为最好 ,3年以上者最差 ( p<0.01) ;不同的治疗方案依从性不同 ,以中药治疗为最好 ,西药加中成药治疗次之 ,单用西药治疗依从性最差 ( p<0.05) ;依从性与焦虑抑郁的程度有关 ,程度较重者的依从性好于程度较轻者 ( p<0.01) ;受教育程度、职业与依从性无显著关系 ( p>0.05)。结论 失眠患者治疗依从性与年龄、病程、治疗方案及患者的焦虑抑郁程度有关 ,重视失眠危害 ,及时治疗 ,正确认识安眠药 。

Objective To investigate the influence factors of cure co-operation in insomnia outpatients in order to improve their curability. Methods 116outpatients were rated with SAS?SDS and self-made scale of general condition about insomnia,and were interviewed with doctor late. Results First,those patients'co-operation,who was younger than35or older than55,was better than that of the patients whose age was in36～54years old(P<0.05);Second,the co-operation of those patients whose course of diseases was shorter than one year,was better than that of the patients whose course of diseases was longer than one year,the short of the course of diseases,the better of the co-operation,the patients whose course of diseases shorter than six month had the best co-operation,the worst was the patients whose course of diseases longer than three years(p<0.01);Third,The difˉferent treat-method led to different co-operation,the best was the cure with chinese traditional medicine,the middle was the cure with both chinese traˉditional medicine and western medicine,the worst was the cure only with western medicine(P<0.05);Fourth,patient's co-operation was related with the degree of anxiety and depression,those patients'co-operation,who had severe degree,was better than that of the patients who had lowdegree(P<0.01);There were no relationship between education,job with co-operation(P>0.05). Conclusion The Influencing factors of cure co-operation in insomnia outpatients were the age?the course of diseases,the treat-method and the degree of anxiety and depression,therefore,timely-cure and adopting good treat-method could improve the curability of insomnia.