肾移植术后患者治疗依从性及其影响因素分析

目的 了解肾移植术后患者治疗依从性及其影响因素.方法 采用随机抽样方法 对肾移植术后门诊随访的220例患者进行调查.调查内容包括患者的基本情况、治疗依从性、肾移植相关知识水平、社会支持,并对其进行统计分析.结果 依从性总得分为(10.34±1.56)分,其中,生活方式依从得分最高,定期复查依从得分最低.影响肾移植术后患者依从性的因素为经济状况、肾移植相关知识、医疗费用支付方式、移植术后时间、社会支持.结论 肾移植术后患者的治疗依从性影响人/肾存活率及患者生活质量,应从加强患者健康教育及随访、提供多方位、多层次的社会支持等方面提高患者的治疗依从性.

Analysis on the treatment compliance in patients after kidney transplantation and the influence factors

Objective To know the treatment compliance in patients after kidney transplantation(RT) and the influence factors.Methods A random sampling method was used in the study.220 past-operative patients were investigated with questionnaires, which contents included the basic knowledge about RT,the treatmentcompliance,the level of RT-related knowledge and the social support.The Statistical Package for Social Science 11.0 was used for data analysis.Results The total score of treatment compliance wag(10.34±1.56).Wherein the score of compliance of lire style was the highest and that of regular recheck was the lowest.The economy status,the basic knowledge about RT,the style of medical payments,the time after the operation and the social support were the main factors related to treatment compliance in patients after RT.Conclusions Treatment compliance in patients after RT will down-regulate the survival rate of patient/kidney and quality of patient's life. We should improve the patients'health education and clinic follow-up,provide better social support to improve the treatment compliance.