可及与连贯的病人服务改善青春期多囊卵巢综合症患者长期治疗依从性

doi:10.3969/j.issn.1000-8535.2015.03.010

广州医药 ›› 2015, Vol. 46 ›› Issue (3): 33-35.DOI: 10.3969/j.issn.1000-8535.2015.03.010

可及与连贯的病人服务改善青春期多囊卵巢综合症患者长期治疗依从性

钟卓慧, 李莹莹, 肖青, 李萍, 龚桂芳

广州市妇女儿童医疗中心妇产科 (广州 510623)

收稿日期:2014-10-30 出版日期:2015-05-20 发布日期:2021-11-30
基金资助:
广东省计生委(2010237)

Access to care and continuity of care improve the compliance of adolescent patients with polycystic ovary syndrome in long-term treatment

Zhong Zhuohui, Li Yingying, Xiao Qin, et al

Department of Gynaecology,Guangzhou Women and Children's Medical Centre, Guangzhou 510623,China

Received:2014-10-30 Online:2015-05-20 Published:2021-11-30

摘要/Abstract

摘要： 目的对86例青春期多囊卵巢综合症(polycystic ovary syndrome,PCOS)患者进行随访,探讨患者长期治疗的依从性。方法选择2009年11月—2012年6月在我院门诊首次诊断为青春期PCOS患者进行前瞻性队列研究。按随诊方法不同分为常规随访组和可及与连贯病人服务(ACC)组,前瞻随访6个月。分别在初次就诊时、3个月及6个月后对比两组的身体质量指数(Body Mass Index, BMI)、复诊率和遵医嘱服药率。结果共86名患者入组,其中常规随访组43人,ACC组43人。两组基线资料基本一致。随访3月时,两组的BMI、复诊率和遵医嘱服药率的差异无统计学意义(P>0.05)。随诊6月时,ACC组的复诊率和服药依从性均优于常规随访组分别为(97.7% 比 81.4%,97.7% 比 76.7%,P＜0.05),BMI比常规随访组下降(22.33±7.31 比 24.59±7.8 kg/m²,t<0.05)。结论可及与连贯的病人服务可以改善青春期PCOS患者BMI及长期随诊的复诊率和服药依从性。

关键词: 可及与连贯的病人服务(ACC), 多囊卵巢综合症, 长期治疗, 患者依从性

Abstract: Objective To investigate the compliance of adolescent patients with polycystic ovary syndrome (PCOS) in long-term treatment by access to care and continuity of care(ACC) on 86 cases. Methods A prospective cohort study was taken for 6 months on adolescent patients diagnosed as PCOS for the first time in out-patient department from November 2009 to June 2012. These patients were selected and divided into ACC group and regular follow-up group according to the different modes of follow-up visit. The relevant data including body mass index (BMI), clinic visit rate and rate of medication adherence were compared in the first visit and 3rd, 6th month in the follow-up visit. Results 86 patients were enrolled with 43 in ACC group and 43 in regular follow-up group. The baseline information was similar between the two groups. There were no statistically significant difference between groups in BMI, clinic visit rate and rate of medication adherence after 3 months (P>0.05). However, after 6 months, BMI, clinic visit rate and rate of medication adherence were significantly improved in the ACC group compared to the regular follow-up group (22.33±7.31 vs 24.59±7.8 kg/m², 97.7% vs 81.4%, 97.7% vs 76.7%, P＜0.05, respectively). Conclusion ACC could improve BMI, clinic visit rate and medication adherence of adolescent patients with polycystic ovary syndrome in long-term treatment.

Key words: Access to Care and Continuity of Care (ACC), Polycystic ovary syndrome, Long-term treatment, Patient compliance

钟卓慧, 李莹莹, 肖青, 李萍, 龚桂芳. 可及与连贯的病人服务改善青春期多囊卵巢综合症患者长期治疗依从性[J]. 广州医药, 2015, 46(3): 33-35.

Zhong Zhuohui, Li Yingying, Xiao Qin, et al. Access to care and continuity of care improve the compliance of adolescent patients with polycystic ovary syndrome in long-term treatment[J]. Guangzhou Medical Journal, 2015, 46(3): 33-35.

可及与连贯的病人服务改善青春期多囊卵巢综合症患者长期治疗依从性

Access to care and continuity of care improve the compliance of adolescent patients with polycystic ovary syndrome in long-term treatment

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