脊柱结核患者出院后服药依从性及其影响因素的研究

Study on drug therapy compliance and influencing factors for the spinal tuberculosis patients after leaving hospital

目的了解脊柱结核患者出院后服药依从性的现状及其影响因素，以提出护理干预措施，巩固治疗效果。方法采用自行设计的调查表和社会支持评定量表（SSRS）对168例脊柱结核患者进行调查，并对收集的数据进行统计学分析。结果脊柱结核患者出院后服药依从性得分较低，规则服药者仅占46．84％；服药依从性受年龄、疾病认知程度、药物副作用、经济条件、文化程度、社会支持等因素的影响（P〈0．05）；疾病认知程度、经济条件、文化程度、社会支持与服药依从性呈正相关，年龄、药物副作用与服药依从性呈负相关。结论脊柱结核患者出院后服药依从性普遍较低，护理人员应根据影响因素采取积极的护理干预措施，以提高其服药依从性。

Objective To study the status and influencing factors on drug therapy compliance for the spinal tuberculosis patients after leaving hospital, so as to advance the corresponding nursing intervention strategies and to consolidate the cure effect. Methods 168 spinal tuberculosis patients in community were investigated by the basic information schedule table, compliance with regular treatment schedule table, the degree of disease cognition questionnaire, and the social support questionnaire. All questionnaires were collected and statistically treated. Results The scores of drug therapy compliance for the spinal tuberculosis pateints after leaving hospital were in a lower level, and the rate of compliance with regular treatment for spinal tuberculosis patients was 46.8%. The drug therapy compliance was affected by the years of age, the degree of disease cognition, the adverse reaction of medicine, the economy condition, the degree of civilization and the degree of social support （P 〈0. 05）. The drug therapy compliance was positively correlated with the degree of disease cognition, the economy condition, the degree of civilization and the degree of social support. The drug therapy compliance was negatively correlated with the years of age and the adverse reaction of medicine. Conclusions The druy therapy compliance for the spinal tuberculosis patients out of hospital is generally in a lower level. Nursing stuffs should adopt active nursing interventions to raise the drug therapy compliance for spinal tuberculosis patients based on the influencing factors.