电话随访对类风湿关节炎患者用药依从性的影响

Effect of telephone foUow-up on medication compliance in patients with rheumatoid arthritis

目的探讨电话随访对类风湿关节炎患者用药依从性的影响。方法将80例确诊为类风湿关节炎的住院患者用随机数字表法分为观察组和对照组各40例，两组患者在住院期问均接受系统的健康教育和出院指导，观察组在此基础上由专人进行电话随访，6个月后分别对两组患者进行用药依从性及生活质量的调查。结果出院6个月后，观察组患者在按次数、按剂量、按时及坚持长期服药方面均优于对照组，差异有统计学意义（P〈0．01）；观察组在生理功能、心理功能、社会功能和健康自我认识维度上的评分分别为（12．55±2．18），（14．15±5．16），（15．55±4．17），（13．18±2．52）分，分别优于对照组的（18．08±5．30），（19．75±5．04），（20．35±5．41），（18．13±5．72）分，差异均有统计学意义（t值分别为6．10，4．91，4．44，5．01；P〈0．01）。结论电话随访可有效提高类风湿关节炎患者的用药依从性并促进患者的预后，值得临床推广。

Objective To investigate the effect of telephone follow-up on medication compliance in patients with rheumatoid arthritis. Methods Totals of 80 patients with rheumatoid arthritis were randomly divided into the experimental group （n = 40） and the control group （n = 40）. All patients in both groupsreceived systematic health education and instructions before discharge. Telephone follow-up was carried out in the experimental group in addition. Medication compliance and life quality were evaluated after six months of discharge. Results Medication compliance in terms of time, dose, punctuality and continuity was better in the experimental group than in the control group 6 months after discharge （ P 〈 0. 01 ）. Scores of physiological function, psychological function, social function and health self - perception were respectively （ 12.55± 2.18 ）, （14.15 ±5.16） ,（15.55 ±4.17） ,（13.18 ±2.52）in the experimental group, and （18.08 ±5.30） ,（19.75 ± 5.04）, （20.35 ± 5.41 ）, （18.13 ± 5.72 ）in the control group, and the differences were statistically significant （ t = 6.10,4. 91,4.44,5.01, respectively; P 〈 0. 01）. Conclusions Telephone follow-up can improve medication comnliance in natients with rheumatoid arthritis, which is worthv clinical promting.