摘要
电针治疗肥胖症被越来越多地运用到临床实践中,但想要有效地治疗肥胖,不但需要医生正确诊断、合理治疗,更需要病人的自觉配合,即需要良好的治疗依从性。病人依从性主要是指病人对医嘱的服从性、执行力,是取得临床疗效不可或缺的因素,其高低取决于病人,但医生可以通过一些治疗策略提高患者的依从性。本试验作为实践性随机对照研究(RCT),是基于真实世界的更加重视病人个体化治疗的RCT,所以从试验的设计伊始就开始关注病人依从性的提高。本文将就单纯性肥胖病人在实践性RCT中的依从性的影响因素和控制策略进行综述。
Electroacupuncture （EA） has been extensively used in clinical treatment of obesity. The effectiveness relies not only on the correct diagnosis and rational treatment, but also on the voluntary cooperation of patients, that is the satisfactory compliance. The patient compliance refers to his/her submissiveness and executive ability to medical advice, which is the indis- pensable factor for the clinical efficacy. The strength of it depends on the patient himself/herself, and moreover is improved through some therapeutic strategies. Based on the emphasis of individual treatment in the real world, the practical randomized controlled trial （RCT） study pays attention to patient＇s compliance at the beginning of trial design. In this paper, in terms of the influential factors and control strategies, the compliance of simple obesity patient in the practical ROT study was summarized sys- tematically.
作者
罗妮莎
高梓珊
唐萍萍
余芝
王耀帅
张素
徐斌
LUO Ni-sha GAO Zi-shan TANG Ping-ping YU Zhi WANG Yao-shuai ZHANG Su XU Bin(Nanjing Uni- versity of Chinese Medicine, Nanjing 210046, China)
出处
《针刺研究》
CAS
CSCD
北大核心
2017年第2期183-186,共4页
Acupuncture Research
基金
国家自然科学基金青年基金(No.81202741)
教育部高等学校博士学科点专项科研基金(No.20123237120009)
南京中医药大学针药结合省部共建教育部重点实验室开放课题(No.KJA 20120001)
关键词
针灸
减肥
病人依从性
随机对照研究
Acupuncture
Weight loss
Patient compliance
Randomized controlled trial
