CAJ | 학술논문

目的了解甲真菌病患者外用抗真菌药治疗的依从率及其影响因素.方法对所有同意参与调查的甲真菌病患者采用皮肤病患者生活质量调查表和自编调查表调查.结果甲真菌病患者使用外用药治疗的依从率为23.9%(92/385).依从性良好者的甲真菌病治愈率为63.04%(58/92),而依从性不良者治愈率为2.05%(6/293).在所有的调查因素中,年龄、性别、文化程度、职业、病程、家庭人均收入、不方便就医或用药、经常忘记用药、疗程长耐心不足、对治疗信心不足、感觉外用药"脏"、嫌麻烦以及生活质量评分等因素与外用药治疗因素有显著相关,担心药物不良反应、患甲数目、患甲部位、无时间用药、相关知识缺乏以及其他因素,在依从性不良和良好者间的差异无统计学意义.结论甲真菌患者外用药治疗依从性低且对疗效影响显著,年龄、性别、文化程度、职业、病程、家庭人均收入、不方便就医或用药、经常忘记用药、疗程长耐心不足、对治疗信心不足、感觉外用药"脏"、嫌麻烦以及生活质量评分等因素与依从性显著相关.
목적 료해갑진균병환자외용항진균약치료적의종솔급기영향인소.방법 대소유동의삼여조사적갑진균병환자채용피부병환자생활질량조사표화자편조사표조사.결과 갑진균병환자사용외용약치료적의종솔위23.9%(92/385).의종성량호자적갑진균병치유솔위63.04%(58/92),이의종성불량자치유솔위2.05%(6/293).재소유적조사인소중,년령、성별、문화정도、직업、병정、가정인균수입、불방편취의혹용약、경상망기용약、료정장내심불족、대치료신심불족、감각외용약"장"、혐마번이급생활질량평분등인소여외용약치료인소유현저상관,담심약물불량반응、환갑수목、환갑부위、무시간용약、상관지식결핍이급기타인소,재의종성불량화량호자간적차이무통계학의의.결론 갑진균환자외용약치료의종성저차대료효영향현저,년령、성별、문화정도、직업、병정、가정인균수입、불방편취의혹용약、경상망기용약、료정장내심불족、대치료신심불족、감각외용약"장"、혐마번이급생활질량평분등인소여의종성현저상관.
Objective To explore the compliance rate of patients and its influential factors on topical antifungal treatment of onychomycosis.Methods Dermatology life quality index(DLQI)and self-administered questionnaires were employed in this study.Results The overall compliance rate of the topical antifungal treatment was 23.9%(92/385).The cure rates on onychomycosis in patients with good compliance was 63.04%(58/92),but only 2.05%(6/293)in those noncompliant patients,respectively.Regarding the influencing factors as age,sex,level of awareness,occupation,course of disease,personal income,inconvenience in access to the treatment,keep forgetting in taking the of drug taking was troublesome,together with the quality of life were identified.There were significant differences between those compliant or noncompliant patients.For some factors as adverse effects of drug,number of affected nails,site of the disease,too busy in daily life,lack of related knowledge etc.,no significant differences were found between the compliant or noncompliant patients.Conclusion Our results showed that onychomycosis patients had poor compliance in topical antifungal treatment which significantly influencing the therapeutic effects.Age,sex,level of awareness on the disease,occupation,course of disease,personal income,inconvenience in receiving the treatment,forgetting to take the medicine,lack of patience,lack of confidence,different kinds of misunderstanding about the disease and quality of life etc.might affect the compliance rate of the disease.