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目的分析耐多药结核患者治疗依从性的影响因素及对策。方法采用自行设计的问卷了解该院于2010年2月—2014年2月收治的140例耐多药结核患者治疗依从性的影响因素。结果 140例耐多药结核服药患者中,依从性好者55例,占39%;依从性差者85例,占61%。年龄≥60岁,疾病知识了解少,药物的不良反应耐受性差,医患关系不融洽等指标为影响治疗依从性的主要因素。结论加强耐多药结核知识健康宣教,减少药物的不良反应及构建和谐的医患关系,对提高患者的治疗依从性有着非常重要的作用。
Objective To analyze the influencing factors and countermeasures of treatment compliance in multidrug-resistant tuberculosis patients. Methods A self-designed questionnaire was used to investigate the influencing factors of treatment adherence in 140 MDR-TB patients admitted from February 2010 to February 2014 in our hospital. Results Of the 140 MDR-TB patients, 55 were eligible, accounting for 39%. 85 patients had poor compliance, accounting for 61%. Age ≥ 60 years of age, less knowledge about the disease, poor tolerance to adverse drug reactions, poor patient-doctor relationship and other indicators are the main factors that influence the compliance of treatment. Conclusions Strengthening the health education of MDR-TB knowledge, reducing adverse drug reactions and building a harmonious doctor-patient relationship play an important role in improving patient compliance.