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目的调查和分析儿童癫间综合治疗依从性的影响因素,为相应的临床干预提供依据。方法对244例进行癫间治疗的患儿中因依从性不好未综合治疗影响疗效的114例进行问卷调查,统计并分析患儿依从性差的原因。结果 114例(占治疗总例数的46.72%)因依从性不佳而中断用药或非规范治疗,影响因素依次为怀疑医生诊断51例、占44.74%,担心药物副作用40例、占35.09%,对疗效不满意35例、占30.70%,嫌治疗烦琐和漫长32例、占28.07%,心理因素14例、占12.28%,经济原因12例、占10.53%。结论儿童癫间综合治疗的依从性受到专业技术、社会和经济等多种因素的影响。因此,应积极采取综合的干预措施以提高患儿治疗的依从性。
Objective To investigate and analyze the influencing factors of children’s epilepsy comprehensive treatment compliance and provide the basis for the corresponding clinical intervention. Methods A total of 244 children undergoing epilepsy were enrolled in the questionnaire survey of 114 patients who did not comply with the comprehensive treatment because of poor compliance. The causes of poor compliance were analyzed and analyzed. Results 114 cases (accounting for 46.72% of the total number of treatment cases) discontinued medication or non-standard treatment because of poor compliance. The influencing factors were as follows: 51 cases were suspected by doctors, accounting for 44.74%; 40 cases were concerned about side effects of drugs, accounting for 35.09% Not satisfied with the efficacy of 35 cases, accounting for 30.70%, suspected too long and cumbersome treatment of 32 cases, accounting for 28.07%, psychological factors in 14 cases, accounting for 12.28%, 12 cases of economic reasons, accounting for 10.53%. Conclusion The compliance of comprehensive treatment of childhood epilepsy is affected by many factors, such as professional skills, social and economic factors. Therefore, comprehensive interventions should be actively taken to improve the treatment compliance in children.