| Objective:To understand treatment adherence in outpatients who are newly diagnosed bronchial asthma in the General Hospital Department of respiration in the first three months and analysis of these factors associated with compliance. To draft follow-up strategy for outpatients first diagnosed asthma. To improve the treatment compliance of outpatients with asthma, so as to reduce the number of recurrent attacks, improve the quality of patient’s life, and ease the personal and social burden of the disease.Methods:The objects of the study: 180 cases who are newly diagnosed bronchial asthma in the first hospital of Shanxi Medical University Department of respiration clinic from April2015 to December 2015. All of them must meet bronchial asthma diagnosis criteria established by Gina in 2015 and 2008 China’s "guidelines for asthma", and had not used inhaled corticosteroid therapy, older than 18 years of age, no serious heart and lung disease history, no history of mental illness. There are 4 follow-up visits in continuous follow-up of 3 months. For the first time, we should improve the demographic data including name,gender, education, residence, family history, smoking history, height, weight, and disease related information including the history of allergic diseases, concomitant disease history,type of asthma, the initial severity of asthma, asthma control test score. In the next 3 visits,we require to evaluate compliance and control status. According to the patients treatment compliance as poor compliance group and good compliance, respectively, to describe treatment compliance of the visit 2, visit 3 and visit 4, and compliance with gender, age, educational level, place of residence, asthma severity, disease control degree of correlation analysis. We use SPSS13.0statistical software package for statistical analysis, and use logistic regression analysis for the correlation analysis, P < 0.05 considered statistically significant.Results:There are 180 cases in Visit 1, male 71 cases(39.4%), female 109 cases(60.6%); youth group(118 cases(65.6%), middle-aged group(44 cases(24.4%), old age group 18 cases(10%); illiterate patients 4 cases(2.2%), primary education and 19 cases(10.6%),secondary school calendar in 49 cases(accounted for 27.2%), technical secondary school or high school degree in 7 cases(20.6%), college or bachelor degree in 63 cases(35.0%),bachelor degree, 8 cases(4.4%); rural patients with 61 cases(33.9%), the city in 119 cases(accounted for 66.1%); intermittent seizures in 6 cases(3.3%), mild in 28 cases(15.5%),moderate lasting 78 cases(43.3%), severe persistent 68 cases(accounted for 37.8%). Visit2: there are 152 cases, and 28 cases were lost, the dropout rate was 15.6%. The number of cases in good compliance group and poor compliance group were 115 cases(75.7%) and37 cases(24.3%). Correlation analysis showed that there were no significant differences between the groups. Visit 3: there are 147 cases, 33 cases were lost, the dropout rate was18.3%. The number of cases in good compliance group and poor compliance group were91 cases(61.9%) and 56 cases(38.1%) The correlation between the degree of disease control and treatment compliance(p=0.016) exist. Visit 4: there are 132 cases, 48 cases were lost, lost the rate of 26.7%, the number of cases in good compliance group and poor compliance group were 72 cases(54.5%) and 60 cases(45.5%). Correlation analysis showed that patients with control(p=0.030) and residence(p=0.028) were associated with treatment compliance.Conclusion:1. Asthma control or not affects treatment compliance, asthma control status is better,and the treatment compliance is better. 2. The domicile is related to treatment compliance,and the urban patients have the better treatment compliance than those patients who are from the rural areas. 3. When we formulate the long-term strategy of asthma follow-up, we should pay close attention to the focus groups and the implementation of early intervention,which is an effective measure to improve the treatment compliance of asthma. |
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