患者教育对舌下特异性免疫治疗的变应性鼻炎患者依从性的影响.docVIP

精品论文 参考文献 患者教育对舌下特异性免疫治疗的变应性鼻炎患者依从性的影响 林碧玉 黄少鹏 陈勇 李瑞玉（通讯作者） 沈帆 　　 (福建省立医院耳鼻喉头颈外科 福建福州 350001) 　　【摘要】目的 研究患者教育对舌下特异性免疫治疗的变应性鼻炎患者依从性的影响。方法　518例尘螨过敏且进行舌下特异性免疫治疗的变应性鼻炎患者分为试验组(200例)和对照组(318例)，在首诊、治疗后第1,3,8周对试验组患者进行电话随访和患者教育，而对照组患者仅门诊就医。治疗后第4，8周行两组间脱落情况统计和脱落原因分析。结果　治疗4周后，试验组和对照组患者的脱落率分别为12.5%和37.4%（P＜0.01）。治疗8周后，试验组和对照组的脱落率分别是24.3%和53.7%（P＜0.01）。两组脱落原因有显著差异性是患者对坚持长期用药缺乏信心和如何具体用药困惑。(P＜0.01，P＜0.05)；结论　患者教育有助于降低接受舌下特异性免疫治疗患者的脱落率，提高患者的依从性。 　　【关键词】患者教育 变应性鼻炎 脱落率 脱落原因 　　【中图分类号】R471 【文献标识码】A 【文章编号】2095-1752（2014）08-0068-02 　　 　　Influence of Patients Education on Compliance of Patients with Allergic Rhinitis to Sublingual Immunotherapy 　　Lin Biyu Huang Shaopeng Chen Yong Li Ruiyu Shen Fan 　　（ Department of Otorhinolaryngology，Head and Neck Surgery of Fujian Provincial Hospital, Fuzhou, Fujian province,350001） 　　【Abstract】 Objective To study the influence of patients education on compliance of patients with allergic rhinitis treated with sublingual immunotherapy. Methods 518 allergic rhinitis patients had randomly enrolled from the Fujian provincial hospital and divided into control (318 patients) and experimental group (200 patients). The experimental group had accepted patient education program including on-site education, follow-up by phone and education at 1st, 3rd and 8th week after treatment, while the control had only accepted investigation for reasons of drop-out. During the 8 weeks, situation and reasons of drop-out in both groups at each visit were recorded and analyzed. Results During first 4 weeks, 12.5% patients in experimental group and 37.4% patients in control group had been failed to adhering with the medical prescription, and the statistically significant difference had been observed（P＜0.01）. After 8 weeks, rate of drop-out in the experimental group was 24.3%, but the control was 53.7%, and significant difference (P＜0.01) existed between groups; The rate of drop-out resulted from lon