CAJ | 학술논문

目的调查和分析福建地区部分风湿性疾病患者的就医行为和经济负担的现状,以及有关的影响因素.方法对福建省立医院风湿免疫科门诊及病房2013年12月至2014年2月就诊的474例患者进行问卷调查,内容包括患者个人情况、就医行为以及经济负担情况,用Logistic回归模型进行相关影响因素的分析.结果 ①共入选474例患者,男女比例为1∶2.38.②出现症状后,51.9％(246例)的患者选择“尽快就医”,36.1％(171例)的患者在1个月内就诊.③74.1％(351例)的患者可以坚持规律治疗,不治疗的理由最多的是“症状减轻”(33.3％,41例).④63.1％(299例)的患者主要从医院或医生宣传教育得知风湿性疾病有关知识.⑤每月治疗费用在1 000～5000元的患者所占比例最大(34.2％,162例).⑥医疗费用类型可影响患者首次就诊的时机(P=0.004),经济收入和医疗支出可影响治疗依从性(P=0.013,P=0.004).结论多数风湿性疾病患者愿意尽快就医并可以坚持治疗,经济因素是影响风湿性疾病患者就医行为的主要因素.
목적 조사화분석복건지구부분풍습성질병환자적취의행위화경제부담적현상,이급유관적영향인소.방법 대복건성립의원풍습면역과문진급병방2013년12월지2014년2월취진적474례환자진행문권조사,내용포괄환자개인정황、취의행위이급경제부담정황,용Logistic회귀모형진행상관영향인소적분석.결과 ①공입선474례환자,남녀비례위1∶2.38.②출현증상후,51.9％(246례)적환자선택“진쾌취의”,36.1％(171례)적환자재1개월내취진.③74.1％(351례)적환자가이견지규률치료,불치료적이유최다적시“증상감경”(33.3％,41례).④63.1％(299례)적환자주요종의원혹의생선전교육득지풍습성질병유관지식.⑤매월치료비용재1 000～5000원적환자소점비례최대(34.2％,162례).⑥의료비용류형가영향환자수차취진적시궤(P=0.004),경제수입화의료지출가영향치료의종성(P=0.013,P=0.004).결론 다수풍습성질병환자원의진쾌취의병가이견지치료,경제인소시영향풍습성질병환자취의행위적주요인소.
Objective To investigate and analyze the health care seeking behavior,financial burden and relative factors of patients with rheumatic diseases in Fujian Province.Methods Patients diagnosed with rheumatic diseases were investigated in Fujian Provincial Hospital from December 2013 to February 2014,including demographic data,health care seeking behavior and financial burden.Relevant factors were analyzed by Logistic regression.Results ① In this study,474 patients were enrolled.The ratio of male to female was 1∶2.38.② At the onset of symptoms,51.9％(246 cases) of patients visited a doctor as soon as possible,and 36.1％(171 cases) of them went to hospital within a month after disease onset.③ 74.1％(351 cases) of patients could adhere to medication regimen prescribed by doctors,and the most common reason for stopping medication was "symptoms relieved" (33.3％,41 cases).④ 63.1％(299 cases) of patients learned about the knowledge of rheumatic diseases from hospitals and doctors.⑤ 34.2％(162 cases) of patients spent 1 000-5 000 yuan every month on treatment.⑥ Insurance type could affect the time of first visit to hospital (P=0.004),while income and cost of therapy might impact patients' compliance (P=0.013,P=0.004).Conclusion Most patients will go to hospital as soon as possible and adhere to treatment.Economic situation is the main factor influencing health care seeking behavior of patients with rheumatic diseases.