溃疡性结肠炎患者用药依从性的质性研究

A qualitative research on medication compliance of patients with ulcerative colitis

目的探讨溃疡性结肠炎（uc）患者用药依从性的影响因素，为医护人员制订有效应对方案提供参考。方法对10例UC患者进行深度访谈，以现象学研究方法分析访谈结果。结果共提炼出5个主题，分别为药物因素、经济负担、生活事件、就诊困难和病耻感。结论UC患者的用药依从状况主要与患者药物知识缺乏、药物费用负担重及社会支持欠缺等因素有关，应加强对UC患者用药的健康教育及督促，完善UC社会医疗保障体系。

Objective To describe the factors influencing medication compliance of patients with ulcerative colitis （UC） and provide a reference for health care workers developing effective response plans. Methods In-depth interview was conducted to 10 UC patients and the interview results were analyzed by phenomenology research method. Results There were five factors influence medication compliance of UC patients including drug affect, economic burden, living events, follow-up appointment and stigma. Conclusions The medication compliance of UC patients is mainly related to patients lacking of drugs knowledge, heavy burden on drugs cost and shortage of social support etc. The health education and medication supervision on UC patients should be strengthened and the social health insurance system on UC needed to be improved.