CAJ | 학술논문

目的：了解大学生痤疮患者的治疗情况、就医行为特点及影响因素。方法2007年9月-2010年9月采用专题讲座、现场医疗咨询、问卷式调查的形式对广州七所高校的大学生痤疮患者进行调研。结果有54.6%（795/1456）的患者曾接受过治疗，其中49.0%（390/795）只选择美容院，21.4%（170/795）只选择医院，21.8%（173/795）既到过医院也到过美容院，7.8%（62/795）选择只使用祛痘化妆品。1~4年级接受治疗率分别为43.0%（226/526）、55.9%（232/415）、53.6%（180/336）、87.7%（157/179），差异有统计学意义（P＝0.000）。男女生比较，女生接受治疗率为64.6%（534/826），男生为41.4%（261/630），女生高于男生，差异有统计学意义（ P ＝0.000）。经Logistic回归分析表明，痤疮严重程度是影响患者是否接受治疗的因素〔OR ＝1.419，95%CI（1.243，1.619），P＝0.000〕。661人没有接受治疗，其中194人（29.3%）认为痤疮不是疾病，没必要治疗；270人（40.8%）认为自己的痤疮很轻，不需要治疗；35人（5.3%）因治疗费用昂贵而不治疗。10.7%（34/317）的学生治疗费占生活费的比例超过30%，15.8%（70/443）认为无法负担治疗费用。结论对痤疮认识不足，选择错误的治疗手段及治疗费用超负荷是延误大学生就医使病情加重的主要原因。重度痤疮、女生及大四学生患者更愿意接受治疗。
목적：료해대학생좌창환자적치료정황、취의행위특점급영향인소。방법2007년9월-2010년9월채용전제강좌、현장의료자순、문권식조사적형식대엄주칠소고교적대학생좌창환자진행조연。결과유54.6%（795/1456）적환자증접수과치료，기중49.0%（390/795）지선택미용원，21.4%（170/795）지선택의원，21.8%（173/795）기도과의원야도과미용원，7.8%（62/795）선택지사용거두화장품。1~4년급접수치료솔분별위43.0%（226/526）、55.9%（232/415）、53.6%（180/336）、87.7%（157/179），차이유통계학의의（P＝0.000）。남녀생비교，녀생접수치료솔위64.6%（534/826），남생위41.4%（261/630），녀생고우남생，차이유통계학의의（ P ＝0.000）。경Logistic회귀분석표명，좌창엄중정도시영향환자시부접수치료적인소〔OR ＝1.419，95%CI（1.243，1.619），P＝0.000〕。661인몰유접수치료，기중194인（29.3%）인위좌창불시질병，몰필요치료；270인（40.8%）인위자기적좌창흔경，불수요치료；35인（5.3%）인치료비용앙귀이불치료。10.7%（34/317）적학생치료비점생활비적비례초과30%，15.8%（70/443）인위무법부담치료비용。결론대좌창인식불족，선택착오적치료수단급치료비용초부하시연오대학생취의사병정가중적주요원인。중도좌창、녀생급대사학생환자경원의접수치료。
Objective To investigate the treatment of acne on the college students,and assess their treatment seeking behavior and impact factors. Methods The college students from seven universities in Guangzhou suffered from acne were inter-viewed with special lecture,on-the-spot medical advice and questionnaires in 2007 September to 2010 September. Results Just 54. 6%(795/1 456)acne college students have been treated,of which,49. 0%(390/795)only choose beauty salon, 21. 4%(170/795) only choose hospitals,21. 8%(173/795) choose both beauty salon and hospitals,and 7. 8%(62/795) bought acne cosmetics only. There are differences between the ratio of all grades for treatment,43. 0%( 226/526 )、55. 9%(232/415)、53. 6% ( 180/336 )、87. 7% ( 157/179 ) . The rate of treatment in the senior students was highest (P=0. 000). As for the comparison of the treatment ratio between males and females,41. 4%(261/630)and 64. 6%(534/826)the males' was lower than females'(P=0. 000). Logistic regression analysis showed that the severity of acne is a factor af-fecting whether patients were treated〔OR=1. 419,95%CI(1. 243,1. 619),P=0. 000〕. In the 661 patients without treat-ment,194(29. 3%)believed that acne was not a disease and treatment was not necessary,270(40. 8%)thinked that their acne was mild,and 35(5. 3%)were due to the expensive cost of treatment. 10. 7%(34/317)patients' treatment costs ac-counted for more than 30% of their cost of living. 15. 8%( 70/443 )cannot afford treatment costs. Conclusion The main rea-sons leading to the delays in medical treatment includes the lack of understanding of acne,the false choice of treatment and the o-verload treatment costs are. The more severe acne patients,female students and senior students are more willing to accept treat-ment.