摘要
[目的]调查本院近两年来脑卒中患者针刺治疗的依从性及其相关因素。[方法]选择本院2012年1月1日至2013年12月31日生命体征平稳后接受康复治疗的脑卒中患者为研究对象,通过医院信息系统收集患者的人口学特征,通过量表评定患者生活能力损伤程度、抑郁情况和家庭支持程度,再采用统计软件综合分析上述因素与依从性的关联性。[结果]168名患者中,仅有72人(42.86%)依从性较好,女性依从性好于男性(χ2=7.74,P=0.005),文化程度高的患者好于文化程度低者(P<0.05),精神状态正常的患者好于抑郁状态者(OR=1.731,P=0.031)、家庭支持状况评级为"好"的患者好于其他患者(OR=1.070,P=0.014),其余因素对依从性的影响没有统计学意义(P>0.05)。[结论]患者文化水平越高、家庭经济条件越好,抑郁程度越轻,家庭对患者越支持,患者的依从就越好。因此,在日常的针刺治疗过程中,为了帮助患者以良好的心态配合治疗,医务人员应当重视对患者及其家属的健康教育,落实心理护理,随时调整患者心态,帮助患者构建良好的家庭、社会支持系统。
[Objective] To survey the compliance and related factors of our hospital stroke patients by acupuncture treatment in recent years. [Method]Selection of stroke patients with stable vital signs after rehabilitation treatment from Jan.1,2012 to Dec.31,2013 in our hospital as the objects of study, the demographic characteristics of patients were collected by hospital information system, the injury degree of living ability, depression and the degree of family support for patients were assessed by recovery scale, and the correlation between above factors and compliance were analyzed by comprehensive statistical software.[Result] In 168 patients, only 72(42.86%) patients had a good compliance, the compliance of women was better than that of men( χ2=7.74, P =0.005), the compliance of better educated patients was better than that of less educated patients(P <0.05), the compliance of mental health patients was better than that of depressive patients(OR=1.731, P=0.031), the compliance of family support condition rated as 'good' patients was better than that of other patients(OR =1.070, P =0.014), and other influence of factors on compliance had not a statistically significance(P >0.05). [Conclusion]The patients with better education, better family economic condition, milder depression and more families support, had the better compliance. In the course of daily acupuncture treatment, the medical staff should pay more attention to the health education to the patients and their families in order to help patients have a good attitude for treatment; the psychological care should be implemented and patients mentality should be adjusted at any time; a good family and social support system for patients should be built by the help of medical staff.
出处
《浙江中医药大学学报》
CAS
2015年第7期562-565,共4页
Journal of Zhejiang Chinese Medical University
基金
国家中医药管理局重点学科建设经费资助(国中医药人教发2012-32)~~
关键词
脑卒中
针刺
康复
依从性
影响因素
stroke
acupuncture treatment
recovery
compliance
influence factors
