影响风湿性疾病患者就诊的相关因素分析

The study on the influencing factors of rheumatism＆#39;s treatment

目的 研究影响风湿性疾病患者就诊的相关因素.方法 选择2013年11月至2014年2月我院治疗的风湿性疾病患者120例作为研究对象,根据自拟的调查问卷进行统计分析,分别通过单因素分析以及多因素Logistic回归分析对影响风湿性疾病就诊的因素进行分析.结果 观察组中年龄≥50岁者占38％（18/48）,职业为农民者占35％（17/48）,教育程度为高中以下者占60％（29/48）,月收入＜3 000元者占46％ （22/48）,均低于对照组[分别为64％（46/72）,58％（42/72）,79％（57/72）,65％（47/72）],差异均有统计学意义（x2=8.058,P=0.005; x2=6.025,P=0.014;x2=4.986,P=0.226;x2=4.456,P=0.035）.以初次就诊科室作为因变量,Logistic回归分析显示,年龄（OR=1.124,95％CI：1.084～7.236）、职业（OR=1.871,95％CI：1.054～7.243）、教育程度（OR=1.982,95％CI：1.157～6.256）、月收入（OR=1.363,95％CI：1.012～8.227）均为影响风湿性疾病就诊的危险因素.结论 影响风湿性疾病患者就诊的因素较多,应重点关注老年、低教育水平、低收入群体患者.

Objective To study influencing factors in patients with rheumatic diseases.Methods One hundred and twenty patients with rheumatic diseases were selected from November 2013 to February 2014 in our hospital for the study.The influencing factors in patients with rheumatic diseases were obtained by proposed questionnaires,and then the univariate and multivariate Logistic regression analysis were performed to study factors affecting the treatment.Results Patients older than 50 of the observation group accounted for 38％ （18/48）,the proportion of farmer,patients with primary school education level or below,and monthly income ＜3 000 RMB was 35％（17/48）,60％（29/48）,and 46％ （22/48） respectively.Compared with the control group,they were significantly higher than the control group,which were 64％（46/72）,58％ （42/72）,79％（57/72）,65％（47/72） （x2=8.058,P=0.005; x2=6.025,P=0.014; x2=4.986,P=0.226; x2=4.456,P=0.035） respectively.Using the treatment as the dependent variable,age ≥50 years of age,farmer,primary school and lower education level,and monthly income ＜3 000 RMB as the independent variable,we carried out the regression analysis.Age （OR=1.124,95％CI：1.084-7.236）,occupation （OR=1.871,95％CI：1.054-7.243）,education level （OR=1.982,95％CI：1.157-6.256）,monthly income （OR=1.363,95％CI：1.012-8.227） are the influencing factors of rheumatism＆#39;s treatment.Conclusion The treatment of rheumatic diseases are influenced by many factors,and more societal support should be provided to help patients with rheumatic disease receive professional treatment and better control of the disease.