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目的:探讨针对结核病患者开展用药依从性方面的调查结果及对策。方法:选择结核病患者500例,均为我院2016年2月至2017年2月收治,经门诊或病房治疗出院,院外用药3个月,且定到时院复查。在患者复诊时,采取问卷调查的方式,掌握患者用药情况。结果:<18岁未成年人用药依从率明显高于>60岁的老年人,具有统计学差异(P<0.05)。学生、干部用药依从率明显高于农民、个体(P<0.05)。高等文化程度明显高于初等文化程度(P<0.05)。相较用药≧4种,用药1种有更高的依从率(P<0.05)。未遵依用药共231例,其中首位原因为未掌握用法用量,共53例,占22.9%;其次为种类多易混淆,共34例,占15.9%;再次为定期复查难度大,共26例,占12.2%。首位表现方式为用量不准确,共48例,占22.5%;其次为自主增减品种,共38例,占17.8%;再次为复查不及时,共27例,占12.7%。首位为需和医生交流,共200例,占40%;其次为简化用药方案,共65例,占13%;再次为了解本人病情,共51例,占10.2%。结论:通过对结核病患者用药依从进行调查,发现问题,并制定针对性改进措施,可提高患者合理用药率,最大程度改善治疗预后。
Objective: To investigate the findings and countermeasures of drug compliance in patients with tuberculosis. Methods: 500 cases of tuberculosis patients were selected, all of whom were admitted to our hospital from February 2016 to February 2017, discharged from outpatient or ward, and treated for 3 months in hospital. In the patient referral, take the form of a questionnaire to master the patient medication. Results: The compliance rate of minors <18 years old was significantly higher than that of aged> 60 years old (P <0.05). Students and cadres medication compliance was significantly higher than farmers, individuals (P <0.05). Higher education was significantly higher than primary education (P <0.05). Compared with medication ≧ 4, medication 1 had a higher compliance rate (P <0.05). A total of 231 cases did not comply with medication, of which the first reason did not know the amount of usage, a total of 53 cases, accounting for 22.9%; followed by the type more easily confused, a total of 34 cases, accounting for 15.9%; again for the regular review of difficulty, a total of 26 cases , Accounting for 12.2%. The first manifestation was inaccurate in dosage, 48 cases in total, accounting for 22.5%. Followed by autonomous increase and decrease in varieties, 38 cases accounted for 17.8%. The first is to communicate with the doctor, a total of 200 cases, accounting for 40%; followed by the simplified medication program, a total of 65 cases, accounting for 13%; again to understand my condition, a total of 51 cases, accounting for 10.2%. Conclusion: Through investigating drug abuse compliance in TB patients, finding out the problems and making targeted improvement measures can improve the rational drug use rate of patients and improve the treatment prognosis to the maximum extent.