309例口腔扁平苔藓患者药物依从性与饮食依从性调查分析

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (3): 340-344.

309例口腔扁平苔藓患者药物依从性与饮食依从性调查分析

黄吉燕¹, 李含卿², 陈梁², 赵厚明², 周海文²

1.上海中医药大学附属曙光医院口腔科, 上海 201203;
2.上海交通大学医学院附属第九人民医院·口腔医学院口腔黏膜病科, 上海市口腔医学重点实验室,上海 200011

收稿日期:2016-03-15 修回日期:2016-05-11 出版日期:2016-06-25 发布日期:2016-07-22
通讯作者: 周海文,E-mail：haiwen39@126.com E-mail:coucouh@163.com
作者简介:黄吉燕（1976-）,女,硕士,主治医师

Medication compliance and diet compliance in 309 oral lichen planus patients

HUANG ji-yan¹, LI han-qin², CHEN liang², ZHAO hou-ming², ZHOU hai-wen²

1. Department of Stomatology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. Shanghai 201203;
2.Department of Oral Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2016-03-15 Revised:2016-05-11 Online:2016-06-25 Published:2016-07-22

摘要/Abstract

摘要： 目的探讨口腔扁平苔藓患者药物依从性和饮食依从性,分析其影响因素。方法采用横断面取样,使用自制问卷调查表以及Morisky量表收集309例口腔扁平苔藓（OLP)患者的数据信息,采用SPSS16.0软件包对数据进行统计学分析。结果口腔扁平苔藓患者饮食依从率为89%,药物依从率为55.02%。与患者的饮食依从性相关的因素为对疾病的认知水平和不良饮食习惯,未发现与药物依从相关的因素。阻碍患者遵医用药的3大原因分别是药物使用不便、忘记用药以及担心药物的副作用。结论患者治疗依从性受多种因素的影响,需要政府、医务工作者及患者共同努力,建立有效的口腔扁平苔藓患者疾病管理机制。

关键词: 口腔扁平苔藓, 治疗依从性, 药物依从性, 口腔黏膜病

Abstract: PURPOSE: To assess oral lichen planus (OLP) patients' medication compliance and diet compliance, and investigated their influential factors. METHODS: Three hundred and nine OLP patients' medication compliance and diet compliance were assessed by self-designed questionnaire and Morisky scale. A cross-sectional observational descriptive study was undertaken. The data were analyzed by Chi-square test and Logistic test using SPSS 16.0 software package. RESULTS: OLP patients' medication compliance rate was 55.7%, and diet compliance rate was 89%. Patients' unhealthy diet habit and knowledge level of OLP were dramatically correlated with patients' diet compliance; however, none of the factors was found to be associated with medication compliance. Drug use inconvenience, forgetting to take medicine and worrying about side effects were the main reasons for medication noncompliance. CONCLUSIONS: OLP patients' treatment compliance was affected by multiple factors, which need integrated efforts including government, medical personnel, and patients to building up an effective patients' management mechanism including reminding, monitoring, and instruction.

Key words: Oral lichen planus, Treatment compliance, Medication compliance, Oral mucosal disease

中图分类号:

R781.5

黄吉燕, 李含卿, 陈梁, 赵厚明, 周海文. 309例口腔扁平苔藓患者药物依从性与饮食依从性调查分析[J]. 上海口腔医学, 2016, 25(3): 340-344.

HUANG ji-yan, LI han-qin, CHEN liang, ZHAO hou-ming, ZHOU hai-wen. Medication compliance and diet compliance in 309 oral lichen planus patients[J]. Shanghai Journal of Stomatology, 2016, 25(3): 340-344.

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