CAJ | 학술논문

目的：探讨影响过敏性紫癜患儿医嘱依从性的相关因素。方法：选取本院小儿科142例过敏性紫癜患儿作为研究对象（首次入住我科时，初发病例118例，复发病例24例。118例初发患儿治愈后复发再住院62例）。入院后采用问卷调查法调查不同因素对患儿医嘱依从性的影响。结果118例初发过敏性紫癜患者中，医嘱依从性好者38例，医嘱依从性差者80例。其中，家长对疾病危害有充分认识、医患沟通情况好的患儿，其医嘱依从性就好，差异有统计学意义（P＜0.01）；而家长文化程度高、年龄、性别及家庭经济状况对医嘱依从性无影响，差异无统计学意义（P＞0.05）。而复发86例过敏性紫癜患者医嘱依从性调查中，医嘱依从性好者22例，医嘱依从性差者64例。其中，家长对疾病危害有充分认识、家长文化程度高、医患沟通情况好、复发次数较多、年龄较小的患儿，其医嘱依从性较好，差异有统计学意义（P＜0.05或＜0.01）；而家庭经济状况、性别对医嘱依从性无影响，差异无统计学意义（P＞0.05）。结论家长对疾病危害的认识、医患沟通情况对初发及复发性过敏性紫癜患儿均有明显影响，家长文化程度、年龄和复发次数则对复发性过敏性紫癜患儿的医嘱依从性有重要影响；而家庭经济状况、性别对患儿医嘱依从性无影响。
목적：탐토영향과민성자전환인의촉의종성적상관인소。방법：선취본원소인과142례과민성자전환인작위연구대상（수차입주아과시，초발병례118례，복발병례24례。118례초발환인치유후복발재주원62례）。입원후채용문권조사법조사불동인소대환인의촉의종성적영향。결과118례초발과민성자전환자중，의촉의종성호자38례，의촉의종성차자80례。기중，가장대질병위해유충분인식、의환구통정황호적환인，기의촉의종성취호，차이유통계학의의（P＜0.01）；이가장문화정도고、년령、성별급가정경제상황대의촉의종성무영향，차이무통계학의의（P＞0.05）。이복발86례과민성자전환자의촉의종성조사중，의촉의종성호자22례，의촉의종성차자64례。기중，가장대질병위해유충분인식、가장문화정도고、의환구통정황호、복발차수교다、년령교소적환인，기의촉의종성교호，차이유통계학의의（P＜0.05혹＜0.01）；이가정경제상황、성별대의촉의종성무영향，차이무통계학의의（P＞0.05）。결론가장대질병위해적인식、의환구통정황대초발급복발성과민성자전환인균유명현영향，가장문화정도、년령화복발차수칙대복발성과민성자전환인적의촉의종성유중요영향；이가정경제상황、성별대환인의촉의종성무영향。
Objective:To explore the influential factors of medical compliance on children with henoch-schonlein purpura. Method:142 cases of children with henoch-schonlein purpura were selected as the object of study(At the first time hospitalized by our department, the number of initial cases was 118 and recurrent cases was 24. In the 118 initial cases, 62 cases had recurrence and were hospitalized for a second time). The influences caused by different factors on medical compliance of children were investigated by questionnaire. Results:In the 118 cases of initial henoch-schonlein purpura, the medical compliance of 38 cases were good, 80 were poor. The medical compliance of children whose parents had full understanding of the harm of the disease and well communicated with doctors were good. The difference was statistically significant (P<0.01);Education degree of parents,the age, sex and the economic status of the family had no effect on the compliance. The difference had no statistical significance (P>0.05). In the 86 cases of recurrent henoch-schonlein purpura, 22 cases had good compliance and 64 cases had poor compliance. Among them, the medical compliance of children whose parents with full understanding of the disease and higher education degree and well communicated with doctors were good. The medical compliance of children with multiple recurrence and younger age were also good. The difference was statistically significant (P< 0.05 or <0.01); the economic status of the family and sex had no effect on the compliance. The difference had no statistical significance (P>0.05). Conclusions:Parents’s understanding of the harm of the disease, the quality of doctor-patient communication have significant effect on medical compliance of children with initial and recurrent henoch-schonlein purpura. Edutional degree of parents,age of children and recurrence times have important influence on the medical compliance of children with recurrent henoch-schonlein purpura;the economic status of the family and sex have no effect on the medical compliance Of children.