慢性肾脏疾病患者治疗依从性调查分析

Investigation of patients with chronic kidney disease treatment compliance

目的通过对慢性肾脏疾病(chronic Kidney disease,CKD)患者服药依从性和执行饮食医嘱依从性的调查,分析可能的影响因素。方法纳入CKD患者102例,设计问卷进行调查服药依从性、执行饮食医嘱的依从性,结合年龄、性别、文化程度、付费方式、工作状态、CKD分期及参加健康讲座等情况进行分析。结果服药方面,依从性好的患者有64例(62.7%),大学或以上学历患者服药依从性明显高于其他患者(P<0.05);饮食医嘱依从性方面,能较好执行饮食医嘱的有47例(46.1%),退休、失业或待业的患者依从性明显好于工作或上学的患者(P<0.05),参加过培训讲座的患者依从性也有高于未参加讲座者,但差异无统计学意义(P>0.05)。结论 CKD患者饮食依从性普遍较服药依从性差,其中文化程度可能是CKD患者服用药物依从性的影响因素之一,工作状态、是否参加饮食培训讲座可能是饮食依从性的影响因素。因此,注重对患者的培训教育,转变其治疗的观念,传授更多的知识,同时帮助工作或上学的患者寻找可执行性强的饮食方案,可能是提高CKD患者治疗依从性的有效措施。

Objective To investigate medication compliance and implementation of the diet doctor＇s advice of patient with chronic renal disease（CRD）,and analyze possible influencing factors.Methods 102 cases of CKD for medication compliance,the implementation of the compliance of the diet doctor＇s advice were investigated and analyzed by designing a questionnaire combined with age,gender,education level,payment method,work status,CKD stage and to participate in health talks.Results In medication there were 64 cases（62.7%） with good adherence,university degree or above in patients with medication adherence was significantly higher than other patients（P0.05）.In the compliance aspects of the diet your doctor there were 47cases（46.1%） with better implementation of the diet your doctor cases,retired,unemployed or unemployed,patient compliance is significantly better at work or school of the patients（P0.05）,the compliance of patients to participate in training seminars are also higher than those not attending lectures,but the difference was not statistically significance（P0.05）.Conclusion Dietary compliance of patients with chronic kidney disease is generally lower than medication adherence.Among them,education level may be one of the factors in CRD patients＇ medication adherence,working condition and whether to participate in training seminars diet are influencing factors of the diet compliance.Focus on training and education to patients,to change its treatment of the concept,imparting more knowledge,to help work or school patients at the same time find the enforceability of the diet program maybe effective measures to improve treatment compliance of patients with CKD.