溃疡性结肠炎患者医嘱顺从性与疗效的研究

The study between compliance of patients with ulcerative colitis to the orders of doctors and response

目的观察溃疡性结肠炎患者对医嘱的顺从性状况,以及行为干预对医嘱顺从性及其疗效的影响。方法采用随机抽样调查的方法,调查病人188例,均经门诊相关检查确诊且无严重并发症的溃疡性结肠炎(UC)患者,在对其给予行为干预后,观察患者医嘱顺从性的改变及其对疾病转归的影响。结果溃疡性结肠炎患者对医嘱顺从率为43.6%,对医嘱顺从者的控制良好率为92.7%,复发率为6.6%。而不顺从者的控制良好率仅为54.7%,复发率为34.5%。医嘱的顺从性对疗效影响显著(P<0.01);行为干预后患者的顺从性及疗效有明显提高(P<0.01)。结论医嘱的顺从性对疗效有显著影响;有效的行为干预对提高医嘱的顺从率、改善疗效有明显作用。

Objective To observe patients＇compliance to the orders of the doctors and its influence on the cure rate of patients with ulcerative colitis （UC） after behavioral interventions. Method 188 patients with ulcerative colitis （UC） and without severe complication were selected randomly, Observe the change of patients＇ compliance with medical treatment after behavior intervention and its effect on disease, Results the compliance rate of the ulcerative colitis （UC） was 43,6%, The rate of good controls for those with good compliance was 92.7 % , the rate of recurrence was 6,6%, while that for noncompliant patients only 54,7%, the rate of recrudescence was 34,5% ,compliance with doctors＇orders exerted a significant influence on the curative effect. （P〈0.01）. There was significant improvement on the compliance and cure rates after behavior interventions, （P〈0.01）. Conclusion Compliance to doctors＇orders has significant influence on the curative effect. ; Effective behavior interventions play an important role in advancing the compliance rate and improve the curative effect