支气管哮喘患者治疗依从性与其控制程度的相关性研究

The correlation between treatment adherence with the quality of life in adult patients with bronchial ;asthma

目的：通过研究门诊支气管哮喘（简称哮喘）患者治疗的依从性与其疾病控制程度的相关性,为提高患者哮喘控制和预防急性发作提供有效依据。方法选取2014年5月至2015年2月于我院确诊的79例成人哮喘患者,根据2014全球支气管哮喘防治创议（GINA）给予规范化治疗,并进行哮喘防治知识及吸入性激素装置的宣教,记录哮喘控制测试（ACT）在治疗12个月前后患者评分及哮喘用药依从性量表治疗后评分,以此进行哮喘患者依从性及其疾病控制程度的相关性分析。结果79例患者的治疗依从率为50.63%,依从性好组 ACT 评分较依从性差组高,差异有统计学意义（P〈0.05）；患者疾病控制情况随其对吸入激素的依从性改变而改变,呈正相关（F=78.34,r=0.689,P〈0.05）。结论哮喘患者治疗依从性与其疾病控制程度紧密相关,良好的治疗依从性可提高患者生活质量,临床工作中对哮喘患者应采取措施提高治疗依从性。

Objective To explore the correlation between the medication adherence of bronchial asthma （asthma） patients and their asthma control situation,thus to provide evidence for the prevention and control of asthma.Methods Totally 79 adult patients with asthma were recruited in our hospital from 2014.05-2015.02.They were investigated with asthma control test （ACT） scores and Medication Adherence Report Scale for Asthma（MARS-A） before and after the regular therapy in 1 2 months.Thus to investigate the relationship between the medication adherence and asthma control situation. Results The rate of patients′medication adherence is 50.63%,the patients with good compliance have higher ACT scores.There is a significantly positive correlation between the condition of patients′disease control with their compliance（P 〈0.05）.Conclusions The medication adherence of patients and their condition of asthma control are closely related.A good medication adherence leads to a better living condition,thus it is of great significance to take some measures to promote patients′medication adherence.