糖尿病护理门诊患者失随访影响原因的研究

目的:调查糖尿病护理门诊患者失随访原因。方法:自某三级甲等医院护理门诊系统中筛选6个月未按时随访的203例患者为研究对象,电话调查患者对随访的主观认识和未按时随访的原因。同时抽取规律随访患者91例作为对照,电话询问对随访的主观认识。分析患者客观资料,与失随访与否作相关性回归分析。结果:患者对随访的主观态度(OR=60.67)、患者独自随访能力(OR=0.05)、随访路程耗时(OR=1.03)、并发症严重程度(OR=0.26)与失随访存在相关性,具有统计学意义。结论:具有失随访特征的患者对于护理门诊随访耐受性较差,应针对该人群探讨新的方式。

Reason analysis of lost to follow-up for diabetes patients in nurse-led clinic

Objective： To find out reasons for dropouts in a nurse-led clinics for patients with diabetes by means of identifying specific characteristics of the patients. Methods： 203 patients who had been absent for more than 6 months were enrolled as dropout group, 91 patients who regularly attended all visits were randomly enrolled as control group. Phone calls were made to investigate the attitude and understanding of patients, and the exact reason for lost to follow-up, were asked in dropout group. The logistic correlation regression was used to find out the relationship between those characters and the occurrence of dropout. Results.. The mobility （OR=0.05）, time consumption （OR=1. 03）,complications （OR=0.26） and the patients points of view （OR= 60.67） were significantly different between two groups（p〈0.05）. Conclusion： Patients with those characters might be less likely to attend face-to-face visits; Other methods may be put into practice.