中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
16期
84-85
,共2页
金早蓉%郑雨燕%陈燕丹%余其慧
金早蓉%鄭雨燕%陳燕丹%餘其慧
금조용%정우연%진연단%여기혜
复发性阿弗他溃疡%深圳%认知行为%调查
複髮性阿弗他潰瘍%深圳%認知行為%調查
복발성아불타궤양%심수%인지행위%조사
Recurrent aphthous ulcer%Shenzhen%Cognitive behavior%Survey
目的:了解深圳市复发性阿弗他溃疡患者对自身疾病的认知及行为方式.方法:从恐癌心理及其产生原因、既往就诊方式及既往用药、依从性影响因素三方面入手,自行设计调查表,对深圳市485例复发性阿弗他溃疡患者进行问卷调查,并对结果进行统计分析.结果:有恐癌心理的患者237例(48.87%),医源性因素51例(21.52%),非医源性因素186例(78.48%);310例患者既往主要在周围小诊所、社康中心就诊或者自行服药(63.92%),426例患者既往经常于溃疡发作后服用抗生素(87.84%);影响患者治疗依从性的前三位因素依次是:自己对疾病的认识不足317例(65.36%)、害怕药物的不良反应及毒副作用276例(56.91%)及专业医疗资源过于匮乏245例(50.52%).结论:深圳市复发性阿弗他溃疡患者对自身疾病存在很多不良认知行为,尤其是恐癌心理和滥用抗生素等,应当加强相关方面的健康教育,扩大专业医疗资源,临床工作中医生应重视患者对疾病的态度和认知,引导正确的行为方式,以达到治疗效果的最大化.
目的:瞭解深圳市複髮性阿弗他潰瘍患者對自身疾病的認知及行為方式.方法:從恐癌心理及其產生原因、既往就診方式及既往用藥、依從性影響因素三方麵入手,自行設計調查錶,對深圳市485例複髮性阿弗他潰瘍患者進行問捲調查,併對結果進行統計分析.結果:有恐癌心理的患者237例(48.87%),醫源性因素51例(21.52%),非醫源性因素186例(78.48%);310例患者既往主要在週圍小診所、社康中心就診或者自行服藥(63.92%),426例患者既往經常于潰瘍髮作後服用抗生素(87.84%);影響患者治療依從性的前三位因素依次是:自己對疾病的認識不足317例(65.36%)、害怕藥物的不良反應及毒副作用276例(56.91%)及專業醫療資源過于匱乏245例(50.52%).結論:深圳市複髮性阿弗他潰瘍患者對自身疾病存在很多不良認知行為,尤其是恐癌心理和濫用抗生素等,應噹加彊相關方麵的健康教育,擴大專業醫療資源,臨床工作中醫生應重視患者對疾病的態度和認知,引導正確的行為方式,以達到治療效果的最大化.
목적:료해심수시복발성아불타궤양환자대자신질병적인지급행위방식.방법:종공암심리급기산생원인、기왕취진방식급기왕용약、의종성영향인소삼방면입수,자행설계조사표,대심수시485례복발성아불타궤양환자진행문권조사,병대결과진행통계분석.결과:유공암심리적환자237례(48.87%),의원성인소51례(21.52%),비의원성인소186례(78.48%);310례환자기왕주요재주위소진소、사강중심취진혹자자행복약(63.92%),426례환자기왕경상우궤양발작후복용항생소(87.84%);영향환자치료의종성적전삼위인소의차시:자기대질병적인식불족317례(65.36%)、해파약물적불량반응급독부작용276례(56.91%)급전업의료자원과우궤핍245례(50.52%).결론:심수시복발성아불타궤양환자대자신질병존재흔다불량인지행위,우기시공암심리화람용항생소등,응당가강상관방면적건강교육,확대전업의료자원,림상공작중의생응중시환자대질병적태도화인지,인도정학적행위방식,이체도치료효과적최대화.
@@@@Objective: To investigate cognitive behavior of recurrent aphthous ulcer patients in Shenzhen.Method: Questionnaire was designed including the following three aspects: carcinophobia and relevant factors;previous treatment mode and previous treatment medication;factors affecting compliance.A total of 485 patients with recurrent aphthous ulcer in Shenzhen were selected and investigated by the questionnaire.Result:237 cases were suffering with carcinophobia (48.87%),51 cases were attributed to iatrogenic factors(21.52%),while the other 186 cases to non-iatrogenic factors(78.48%).310 cases’previous main treatment modes were small clinic and community health center,or self-medication(63.92%).426 cases often took antibiotics(87.84%).The top three factors affecting compliance were in turn: lack of knowledge about the disease(317 cases,65.36%);fear of adverse reactions and side effects resulting from medication(276 cases,56.91%);serious lack of professional medical resources(245 cases,50.52%).Conclusion:There are many adverse cognitive behaviors on recurrent aphthous ulcer patients in Shenzhen,especially carcinophobia and abuse of antibiotics.Related health education should be strengthened, professional medical resources should be increased,and doctors should pay more attention to cognitive behavioral treatment.
