标题：癫痫患者治疗依从性的影响因素及护理对策

      作者：孙丽娟 1，柏丽萍 2    宝鸡市人民医院神经内科 1、心内科 2，陕西 宝鸡 721000

      卷次： 2019年30卷10期

      【摘要】 目的 探讨癫痫患者治疗依从性的影响因素，并总结相关的护理对策。方法 选择宝鸡市人民医院神经内科2016年2月至2018年10月期间收治的115例癫痫患者为研究对象，根据患者的治疗依从性进行分组，将治疗依从性好的52例患者纳入依从组，余63例患者纳入不依从组，比较两组患者的年龄、性别、病程、受教育程度、婚姻状况、经济情况、职业、医疗保险等临床资料，总结相关的护理措施。结果 依从组患者的文化程度高中以上、人均收入>2 000元/月、有医保者的比例分别为 67.31%、53.85%、88.46%，均明显高于不依从组的 47.62%、34.92%、76.19%，差异均有统计学意义(P<0.05)；而两组患者的年龄、性别、婚姻状况及病程比较差异均无统计学意义(P>0.05)。结论 癫痫患者治疗依从性与文化程度、经济状况、医保等因素有关，对于癫痫患者应该从心理干预、健康教育、强化社会家庭支持系统及随访等多方面进行综合护理干预。
      【关键词】 癫痫；抗癫痫药物；治疗依从性；影响因素；护理
      【中图分类号】 R473.74 【文献标识码】 A 【文章编号】 1003—6350（2019）10—1355—03

Influencing factors of treatment compliance of patients with epilepsy and the nursing strategies.
SUN Li-juan 1,BAI Li-ping 2. Department of Neurology 1, Department of Cardiology 2, Baoji People's Hospital, Baoji 721000, Shaanxi,CHINA
【Abstract】 Objective To explore the influencing factors of treatment compliance of patients with epilepsy andsummarize relevant nursing strategies. Methods A total of 115 patients with epilepsy treated in Department of Neurolo-gy, Baoji People's Hospital from February 2016 to October 2018 were selected as the study subjects. The patients weredivided into two groups according to their treatment compliance. Fifty-two patients with good treatment compliancewere included into the compliance group, and the remaining 63 patients were included into the non-compliance group.The clinical data of the two groups were compared, such as age, sex, course of disease, education level, marital status,economic situation, occupation, medical insurance, and the relevant nursing measures were summarized. Results Theproportion of patients with education above high school, per capita income>2 000 yuan/month, and medical insurance incompliance group were 67.31% , 53.85% , and 88.46% , respectively, which were significantly higher than 47.62% ,34.92%, and 76.19% in non-compliance group (P<0.05). There was no significant difference in age, sex, marital status,and course of disease between the two groups (P>0.05). Conclusion The treatment compliance of patients with epilep-sy is related to educational level, economic status, medical insurance, and other factors. For patients with epilepsy, com-prehensive nursing intervention should be carried out, including psychological intervention, health education, social andfamily support system, and follow-up.
      【Key words】 Epilepsy; Antiepileptic drugs; Treatment compliance; Influencing factors; Nursing·护理·doi:10.3969/j.issn.1003-6350.2019.10.039