摘要
目的研究风湿病患者院外服药不依从的真实原因。方法采用质性研究的现象学研究法,用半结构式访谈方式,对14例出现院外服药不依从的患者进行深入访谈。结果通过分析,归纳出8个造成患者服药不依从的原因:(1)认知不足;(2)便利性;(3)药物副作用;(4)经济负担;(5)其他疾病影响;(6)药物疗效欠佳;(7)沟通不足;(8)应对态度。结论风湿病患者服药不依从的原因是多方面的,社会、医院、家庭及患者本身均有责任通过不同方式和途径提供、创造条件,以提高患者院外服药的依从性,更好地控制病情,提高患者生活质量,减少社会和家挺负担。
Objective To explore the real reasons of non-compliance of medicine in rheumatic outpatients.Methods A semi-structured interview was conducted among 14 patients with non-compliance to out-of-hospital medication by using the phenomenological method in qualitative research.Results The main reasons for patients not following the doctor's advice were as follows:(1)lack of cognition;(2)convenience;(3)side effects of drugs;(4)economic burden;(5)impact of other diseases;(6)poor efficacy of drugs;(7)inadequate communication;(8)coping attitude.Conclusion The reasons for non-compliance of medicine in rheumatic patients outside hospital are complicated,including society,hospitals,families and patients themselves,and the improvement of the compliance of medicine outside the hospital by providing and creating conditions will effectively alleviate the patient's condition,improve the quality of life of patients,reduce the burden of society and family support.
作者
高艺桑
GAO Yisang(Department of Rheumatology and Immunology,The First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China)
出处
《中国卫生标准管理》
2018年第23期130-133,共4页
China Health Standard Management
关键词
风湿性疾病
院外患者
糖皮质激素
缓解病情抗风湿药
服药依从性
质性研究
rheumatic disease
outpatients
glucocorticoid
disease-modifying anti-rheumatic drugs
medication compliance
qualitative research
