治疗方案对性病患者药物治疗依从性影响的研究

Study on Treatment Programs Related to Drug-Use Adherence to STD/STI Patients

目的了解治疗方案对性病(STI/STD)患者药物治疗依从性的影响.方法抽取在某医院皮肤科复诊的性病患者共305人,以自编的《性病患者药物治疗依从性调查问卷》为工具进行调查.结果治疗时间长、治疗品种多、治疗次数多、治疗花费高、对治疗方案的接受程度低、感知到治疗方案与日常生活的冲突性高等因素与患者药物治疗的依从性有相关(P<0.01).治疗不良反应与依从性没有相关(P>0.05).结论缩短治疗时间、减少治疗次数和治疗种类、降低医疗费用、完善个体诊所和私营医疗机构的收费、使用个性化治疗方案以减少治疗方案冲突性、以及改变患者对治疗方案的期望等措施有助于提高患者药物治疗的依从性.

Objective To analyze treatment programs related to drug-use adherence to STD/STI Patients. Methods The objects were 305 STD/STI patients. A questionnaire The Adherence about STD/STI Patients was used to collect data. Results Believing the treatments were long, the treatment types and frequency were too many, the costs were expensive, the high acceptance to the treatment programs and low level conflict between treatment and the patients＇ normal life are the factors which significantly associated with drug-use adherence （P 〈 0.01 ）. The side-effectiveness had no significant correlation with drug-use adherence （P 〉 0.05）. Conclusion Shortening the treatment time, decreasing frequency and types, reducing costs, private medical institutions, using some kind of personal treatments to reduce the expectancies of treatment are the ways to improve the drug-use adherence. standardizing the charge rules of conflicts and reducing patients＇ expectancies of treatment are the ways to improve the drug-use adherence.