慢性阻塞性肺疾病患者激素吸入治疗依从性及影响因素分析

目的：探讨慢性阻塞性肺疾病患者糖皮质激素吸入治疗的依从性及影响因素。方法利用依从性指数调查2011年5月～2012年8月收治的100例 COPD 患者在急性加重期和稳定期采用激素吸入治疗的依从性程度并分析影响因素。结果仅有9例患者的依从性指数为好，占总数的9％；影响患者吸入性治疗的原因包括认为药物作用不大、忘记用药、经济困难、吸入治疗的方法未掌握。结论慢性阻塞性肺疾病患者在住院期间能保持对药物的依从性高，但是当出院后依从性下降，护理人员对患者加强健康宣教、呼吁患者的家庭给予鼓励和帮助，有利于提高激素吸入治疗的依从性。

The analysis of the compliance and influencing factors of glucocorticoid inhalation in patients with chronic obstuctive pulmonary disease

Objective To analysis the compliance and influencing factors of glucocorticoid inhalation in patients with chronic obstuctive pul-monary disease.Methods 100 cases of patients suffering from COPD from May 2011 to August 2012 were brought into the survey.Using compliance index survey to look into the degree of compliance of glucocorticoid inhalation during the period of acute exacerbation and stabiliza-tion.Results Only 9 patients’compliance index were good,which was 9% of the total.Influencing factors included the fearness of pstients, the anxiety of the adverse reaction,fail to take medicine ragularly and so on.Conclusion Patients with COPD comply better with glucocorti-coid inhalation during the period of acute exacerbation than the period of stabilization.Strengthening health educatioin and calling for their families to encouraging patients help increase the compliance of the glucocorticoid inhalation.