出院后痛风患者诊断治疗依从性的相关因素分析

The analysis of factors related to adherence to the diagnosis and treatment of gout patients after discharge

目的探究出院后痛风患者诊断治疗依从性的相关因素,以期能为后期临床治疗提供参考。方法选取2012年8月至2016年2月该院收治的390例住院治疗的痛风患者为研究对象,对所有患者进行电话随访,了解其出院后诊断治疗依从性,并探究出院后痛风患者诊断治疗依从性的相关因素。结果 390例痛风患者出院后诊断治疗依从性平均评分为(3.93±1.78)分。其中117例(30.00%)患者评分大于或等于6分,为依从者;273例(70.00%)患者评分小于6分,为不依从者。病程、文化程度、痛风发作频率、婚姻状况和医疗费用支付方式与出院后痛风患者诊断治疗依从性有密切相关性(P<0.05)。病程长、文化程度低、医疗费用支付方式为自费是出院后痛风患者诊断治疗依从性不良的独立危险因素(P<0.05)。结论应当加强对病程长、文化程度低、自费患者出院后的监测和随访,以改善患者出院后的诊断治疗依从性,为后期临床治疗提供参考。

Objective To explore factors affecting diagnosis and treatment compliance in patients with gout leaving hospital,in order to provide a reference for late-stage clinical treatment.Methods 390 patients with gout treated in our hospital were selected from August 2012 to February 2016 for the study,all patients were followed up by telephone,their diagnosis and treatment compliance after discharge was investigated,and the factors affecting diagnosis and treatment compliance in gout patients after discharge investigated were,as well.Results The mean score of treatment adherence of 390 cases of gout patients after discharge was（3.93±1.78）points.There were 117（30.00%）patients of which their score were ≥6points for compliers,and 273（70.00%）patients who do not comply with scores〈6points.Disease duration,education level,frequency of gout attacks,marital status and payment of medical expenses were closely related to diagnosis and treatment adherence（P〈0.05）.Longer duration,low educational level,payment of medical expenses at their own expense were independent risk factors for poor adherence（P〈0.05）.Conclusion We should strengthen the monitoring and follow-up of patients with gout who are with long duration of disease,low educational level,and pay medical expenses from their own pocke tinorder to improve patient diagnosis and treatment adherence,provide references for late-stage clinical treatment.