慢性主观性耳鸣患者多元复合声治疗依从性的影响因素分析

Analysis of factors influencing compliance of patients with chronic subjective tinnitus treated with multiple complex sounds

目的探究慢性主观性耳鸣患者多元复合声治疗依从性的影响因素。方法回顾性分析空军军医大学第二附属医院唐都医院耳鼻咽喉头颈科2020年1月至2021年12月收治的106例经多元复合声治疗的慢性主观性耳鸣患者临床资料。采用自制依从性调查表进行评分,依从性得分≥30分纳入依从性良好组(63例),反之纳入依从性差组(43例)。采用单因素和多因素logistic回归分析影响治疗依从性的相关因素。结果两组年龄、病程、文化水平、婚姻状况、月收入、不良反应、疾病认知、支付方式、社会支持度比例比较,差异有统计学意义(P<0.05)。logistic回归结果显示,月收入、不良反应、疾病认知、支付方式是影响慢性主观性耳鸣患者多元复合声治疗依从性的独立危险因素(OR>1,P<0.05)。结论慢性主观性耳鸣多元复合声治疗过程中,患者出现严重不良反应,对疾病认知较差,收入水平低,费用自付,可能会降低治疗依从性。

Objective To explore the factors influencing the compliance of chronic subjective tinnitus patients treated with multiple complex sound therapy.Methods The clinical data of 106 patients with chronic subjective tinnitus treated with multiple compound sound were retrospectively analyzed from January 2020 to December 2021 in the Department of Otolaryngology and Head and Neck,Tangdu Hospital,the Second Affiliated Hospital of Air Force Military Medical University.The self-made compliance questionnaire was used to score,and the patient with compliance score≥30 points were included in the good compliance group(63 cases),and the poor compliance group(43 cases).Univariate and multivariate logistic regression were used to analyze the related factors affecting treatment compliance.Results There were statistically significant differences in age,course of disease,educational level,marital status,monthly income,adverse reactions,disease cognition,payment method,and social support between the two groups(P<0.05).Logistic regression results showed that monthly income,adverse reactions,disease cognition,and payment method were independent risk factors affecting the compliance of patients with chronic subjective tinnitus with multiple complex sound therapy(OR>1,P<0.05).Conclusion In the treatment of chronic subjective tinnitus with multiple complex sounds,patients have serious adverse reactions,poor disease cognition,low income level,and out-of-pocket expenses,which may reduce treatment compliance.