中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2011年
3期
166-170
,共5页
李赛姣%杨菁%何爱燕%尹太郎%徐望明%邹宇洁
李賽姣%楊菁%何愛燕%尹太郎%徐望明%鄒宇潔
리새교%양정%하애연%윤태랑%서망명%추우길
多囊卵巢综合征%不育,女(雌)性%病人依从%回归分析
多囊卵巢綜閤徵%不育,女(雌)性%病人依從%迴歸分析
다낭란소종합정%불육,녀(자)성%병인의종%회귀분석
Polycystic ovary syndrome%Infertility,female%Patient compliance%Regression analysis
目的 调查多囊卵巢综合征(PCOS)不孕患者治疗依从性的相关影响因素,为临床治疗、专科咨询及健康教育提供依据.方法 借鉴综合Morisky问卷及PCOS防治原则设计调查问卷,对白2009年3月到2010年9月到本院生殖中心门诊就诊的PCOS不孕患者共128例进行问卷调查,并对结果进行logistic回归分析.结果 除去不完整及随访脱落病例,最终120例纳入统计范围.经logistic回归分析显示纳入分析的患者中仅34.2%(41/120)依从性好,与PCOS不孕患者治疗依从性相关的因素有体重指数(OR=2.426,95% CI=1.428～4.121)、结婚时间(OR=0.398,95% CI=0.225～0.704)、担心药物不良反应(OR=0.216,95% CI=0.067～0.694)(P＜0.05).结论 肥胖、结婚时间短及担心药物不良反应的PCOS不孕患者治疗依从性较低,临床上应加强对这部分人群的宣传及干预以提高PCOS依从性.
目的 調查多囊卵巢綜閤徵(PCOS)不孕患者治療依從性的相關影響因素,為臨床治療、專科咨詢及健康教育提供依據.方法 藉鑒綜閤Morisky問捲及PCOS防治原則設計調查問捲,對白2009年3月到2010年9月到本院生殖中心門診就診的PCOS不孕患者共128例進行問捲調查,併對結果進行logistic迴歸分析.結果 除去不完整及隨訪脫落病例,最終120例納入統計範圍.經logistic迴歸分析顯示納入分析的患者中僅34.2%(41/120)依從性好,與PCOS不孕患者治療依從性相關的因素有體重指數(OR=2.426,95% CI=1.428～4.121)、結婚時間(OR=0.398,95% CI=0.225～0.704)、擔心藥物不良反應(OR=0.216,95% CI=0.067～0.694)(P＜0.05).結論 肥胖、結婚時間短及擔心藥物不良反應的PCOS不孕患者治療依從性較低,臨床上應加彊對這部分人群的宣傳及榦預以提高PCOS依從性.
목적 조사다낭란소종합정(PCOS)불잉환자치료의종성적상관영향인소,위림상치료、전과자순급건강교육제공의거.방법 차감종합Morisky문권급PCOS방치원칙설계조사문권,대백2009년3월도2010년9월도본원생식중심문진취진적PCOS불잉환자공128례진행문권조사,병대결과진행logistic회귀분석.결과 제거불완정급수방탈락병례,최종120례납입통계범위.경logistic회귀분석현시납입분석적환자중부34.2%(41/120)의종성호,여PCOS불잉환자치료의종성상관적인소유체중지수(OR=2.426,95% CI=1.428～4.121)、결혼시간(OR=0.398,95% CI=0.225～0.704)、담심약물불량반응(OR=0.216,95% CI=0.067～0.694)(P＜0.05).결론 비반、결혼시간단급담심약물불량반응적PCOS불잉환자치료의종성교저,림상상응가강대저부분인군적선전급간예이제고PCOS의종성.
Objective To investigate factors that correlated to compliance of treatment in infertile patients with polycystic ovary syndrome (PCOS) to provide basis for clinical treatment, specialist consultation and health education. Methods Compliance was assessed by a questionnaire designed by reference to Morisky-Green test and therapeutic principles for PCOS. Interviews were performed in 128 infertile patients with PCOS in Renmin Hospital of Wuhan University, Wuhan, Hubei in China during March 2009 to September 2010. Data were analyzed with logistic regression. Results Logistic regression analysis revealed that a total of 41 (34.2% ) of 120 participants investigated showed good compliance. Factors that might significantly (P ＜ 0.05 ) correlate compliance of treatment included body mass index (BMI) of the patients ( OR = 2.426, 95% CI = 1.428 - 4.121 ), length of their marriage ( OR = 0.398, 95% CI =0.225 - 0.704) and their concerns for adverse drug reactions ( OR= 0.216, 95% CI = 0.067 - 0.694).Conclusions Patients with obesity, shorter length of marriage and concerns for adverse drug reactions show lower compliance. Publicity and intervention to those patients should be strengthened in clinics to improve their treatment compliance in patients with PCOS.
