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目的:探究影响消化性溃疡患儿治疗依从性的相关因素,并提出针对性的改进管理建议。方法:研究对象选取为2015年温州医科大学附属第二医院收治的197例消化性溃疡患儿,通过问卷调查或半结构式访谈的形式了解患儿的具体情况,包括年龄、居住地、家长文化程度、医疗费用支付方法等,并采用logistics回归分析影响因素。结果:本组197例患儿中治疗依从性较好82例,占41.6%,治疗依从性较差115例,占58.4%,依从性特征统计显示,58.4%的患儿能遵医嘱服药,37.1%的患儿可按时复诊,30.5%的患儿遵医嘱控制饮食,仅有2.5%的患儿会进行胃镜复查;1ogistics回归分析显示,年龄、居住地、家长文化程度、医疗费用支付方法均会影响患儿的治疗依从性。结论:消化性溃疡患儿的治疗依从性受到多种因素影响,应当重视消化性溃疡患儿及家属的早期防治教育,提高家属的认知程度,从而提高患儿的治疗依从性。
Objective: To explore the related factors that affect the treatment compliance of children with peptic ulcer and to put forward the suggestions of improving management. Methods: The subjects were selected from 197 children with peptic ulcer admitted to the Second Affiliated Hospital of Wenzhou Medical University in 2015. The questionnaires or semi-structured interviews were used to understand the specific conditions of the children, including age, place of residence, parental education , Medical expenses payment methods, and logistics regression analysis of the influencing factors. Results: Among the 197 children in this group, 82 patients (41.6%) had good compliance, and 115 patients (58.4%) had poor compliance. The compliance statistics showed that 58.4% of the children were able to take the medicine and 37.1 % Of children with referral on time, 30.5% of children under the command of diet, only 2.5% of children will be gastroscopy; 1ogistics regression analysis showed that age, place of residence, parents of education, medical expenses will be paid Affect the treatment compliance in children. Conclusion: The treatment compliance of children with peptic ulcer is influenced by many factors. Early prevention and treatment of peptic ulcer patients and their families should be paid attention to, and the cognition of family members should be raised so as to improve the treatment compliance of children.