农村消化性溃疡病人治疗依从性分析及健康需求调查

Treatment compliance and health needs of rural patients with peptic ulcer

目的:调查农村消化性溃疡患者治疗依从性及健康需求情况,为防治消化性溃疡提供依据。方法:采用问卷调查形式,从药物治疗、定期复查、生活方式改善3个维度收集资料,并对患者进行健康需求调查。结果:共调查116例,其中生活方式改善的依从比例最低,为4.3%(5例),药物治疗和定期复查依从比例均为7.8%(9例)。逐步回归分析提示,影响药物治疗依从性的因素为经济收入。需要消化性溃疡咨询的患者为105例(90.5%),需要饮食指导的患者为98例(84.5%),需要定期体格检查的患者为93例(80.2%)。结论:农村消化性溃疡患者对不同医嘱的依从性均很低,需加强健康宣教。

Objective To investigate the treatment compliance and basic health needs of rural patients with gastric ulcer. Methods One hundred and sixteen patients with gastric ulcer were mea sured with treatment compliance questionnaire. The questionnaire contained 3 aspects： chemical therapy, regular callback, and improvement in life style, and had another part of questions which were designed to investigate the basic health needs of the patients. Results The patient compliance rate in the aspect of improvement in life style was 4.3 % （ n = 5 ）. Both of the counterparts in the other 2 aspects were 7.8 % （ n = 9 ）. The main correlative factor with treatment compliance of the investigated patients was economic income. There were 105 patients （90.5%） needing health consultation, 98 patients （84. 5% ） needing diet instruction and 93 patients （80.2%） needing regular physical examination among the 116 rate of rural patients with gastric ulcer was very low. It is necessary to emphasize health education.