子宫内膜异位症患者促性腺激素释放激素激动剂治疗的依从性及影响因素分析

Compliance and influencing factors analysis on gonadotropin releasing hormone agonist in treating patients with endometriosis

目的了解子宫内膜异位症患者使用促性腺激素释放激素激动剂治疗的依从性及影响因素。方法采用自行编制的子宫内膜异位症患者促性腺激素释放激素激动剂治疗依从性问卷、子宫内膜异位症知识问卷及一般自我效能量表、社会支持评定量表,对使用促性腺激素释放激素激动剂治疗的140例子宫内膜异位症患者进行调查。结果患者使用促性腺激素释放激素激动剂治疗的依从性得分为(24.06±2.89)分(总分8～32分),治疗依从性与患者的子宫内膜异位症知识得分、自我效能、社会支持呈正相关,子宫内膜异位症知识得分和自我效能是患者促性腺激素释放激素激动剂治疗依从性的显著预测因子。结论子宫内膜异位症患者促性腺激素释放激素激动剂治疗依从性总体较好,但在定期监测血内分泌激素、雌激素反加药物服用及每天室外体育锻炼方面尚待提高。护理人员要对患者加强子宫内膜异位症知识的宣教并重视提高患者的自我效能。

Objective To study the compliance and influencing factors of gonadotropin releasing hormone agonist （Gn- RHa） in treating patients with endometriosis. Method Investigate 140 patients with endometriosis taking GnRHa by self-- designed questionnaire on compliance of GnRHa, knowledge questionnaire on endometriosis, self--rated abilities for health practice scale and social support scale. Result Score of compliance of GnRHa for patients is （24. 06±2. 89） from total score of 8-32. GnRHa compliance has positive correlation to endometriosis knowledge, self--efficiency and social support. Score of endometriosis knowledge and self--rated abilities are significant predictors of patients＇ compliance of GnRHa. Conclusion The general compliance of GnRHa in treating patients with endometriosis is nice. But it should be improved in regularly hormonal monitoring, estrogen administration and out--door physical exercise. Knowledge propaganda and education on endometriosis and self--efficiency for patients should be enhanced in nursing intervention.