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摘要: 目的: 探讨变应性鼻炎(AR)患者生活质量水平及其影响因素,为提高其生活质量和治疗依从性提供理论依据。方法: 采用鼻-结膜炎相关生活质量问卷(RQLQ)、视觉模拟量表(VAS)及治疗依从性评分问卷调查。120例进入调查的患者按是否接受过用药指导分为A1组和B1组,按是否接受过用药监督分为A2组和B2组。研究数据用SPSS 17.0软件进行分析处理。结果: 患者治疗依从性、认知水平、RQLQ得分、VAS得分与其生活质量各领域(日常生活受限、睡眠、非鼻-结膜炎症状、鼻炎相关行为、鼻部症状、眼部症状及心理情感反应)的相关系数呈正相关,且均差异有统计学意义(均P<0.05)。结论: AR患者生活质量水平受患者的治疗依从性、病程长短及受教育程度的影响,增强患者的治疗依从性,可提高AR患者的生活质量。Abstract: Objective: To investigate the level of life quality and the influence factors and to furnish basis for improving life quality and treatment compliance of patients with allerge rhinitis.Method: Adopt the rhino conjunctivitis quality of life questionnaire(RQLQ), visual analogue scales(VAS), curing to obey the sex grade point questionnaire.quality of life and patient's compliance on cross-sectional study. One hundred and twenty the examples enter the inquisitional sufferer to press whether accepted to is divided into the A1 set and B1 sets with the medicine leading and whether accepted to use the medicine the direct is divided into the A2 set and B2 sets, the A set accepts use the medicine leading and use the medicine direct.Multiple databases were established based on questionnaire.SPSS 17.0 software was used in statistical analysis.Result: Coefficient correlation of patient's compliance,cognition level, questionnaire with quality of life has statistical significance,and is positive correlation.Conclusion: Treatment compliance of patients, duration and level of education have great impact on the quality of life for patients AR. Enhance patient compliance with treatment can improve the quality of life of patients with AR.
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Key words:
- rhinitis /
- allergy /
- quality of life /
- patient's compliance
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[1] HELLINGS P W,FOKKENS W J,AKDIS C,et al.Uncontrolled allergic rhinitis and chronic rhinosinusitis:where do we stand today[J]?Allergy,2013,68:1-7.
[2] KUNA P,KACZMAREK J,KUPCZYK M.Efficacy and safety of immunotherapy for allergies to Alternaria alterata in children[J].J Allergy Clin Immunol,2011,127:502-508.
[3] ZHANG Y M,ZHANG J,IUL S L,et al.Prevalence and associated risk factors of allergic rhinitis in preschool chileren in Beijing[J].Laryngoscope,2013,123:28-35.
[4] SCHATZ M,ZEIGER R S,CHEN W,et al.A comparison of the psychometric properties of the MiniRhinitis Quality of Life Questionnaire and the Rhinitis Control Assessment Test[J].Am J Rhinol Allergy,2012,26:127-133.
[5] BAIARDINI I,BOUSQUET P J,BRZOZA Z,et al.Recommendations for assessing patient-reported outcomes and health-related quality of life in clinical trials on allergy:a GA2LEN taskforce position paper[J].Allergy,2010,65:290-295.
[6] BOUSQUET J,KHALTAEV N,CRUZ A,et al.Allergic rhinitis and its impact on asthma(ARIA)2008update(in collaboration with the World Health Organization,GA2LEN and AllerGen)[J].Allergy,2008,63:8-160.
[7] 锡琳,张罗.变应性鼻炎患者的心理人格测试[J].中华耳鼻咽喉头颈外科杂志,2012,47(8):702-704.
[8] JUNIPER E F.Measuring health-related quality of life in rhinitis[J].J Allergy Clin Immunol,1997,99:742-749.
[9] BOUSQUET P J,COMBESCURE C,NEUKIRCH F,et al.Visual analog scales can assess the severity of rhinitis graded according to ARIA guidelines[J].Allergy,2007,62:367-372.
[10] 中华耳鼻咽喉头颈外科杂志编委会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.变应性鼻炎诊断和治疗指南(2009年,武夷山)[J].中华耳鼻咽喉头颈外科杂志,2009,44(12):977-978.
[11] DI LORENZO G,PACOR M L,AMODIO E,et al.Differences and similaritics between allergic and nonallergic rhinitis in a large sample of adult patients with rhinitis symptoms[J].Int Arch Allergy Immunol,2011,155:263-270.
[12] 程雷.重视季节性变应性鼻炎的预防性治疗[J].中华耳鼻咽喉头颈外科杂志,2013,48(7):532-534.
[13] 刘晓玲,罗鸿,余晔,等.三级预防健康教育管理与生活方式干预在变应性鼻炎治疗中的作用研究[J].临床耳鼻咽喉头颈外科杂志,2012,26(17):783-788.
[14] LUO H,ZHANG J B,YE Y,et al.Clinical value of high expressed corticosteroid receptor-beta mRNA in nasal mucosa of steroid-resistant patients with allergic rhinitis[J].ORL J Otorhinolaryngol Relat Spec,2014,76:1-7.
[15] WANG K,WANG C,XI L,et al.A randomized controlled trial to assess adherence to allergic rhinitis treatment following a dialy short message service(SMS)via the mobile phone[J].Int Arch Allergy Immunol,2014,163:51-58.
[16] 张罗.以患者为中心的变应性鼻炎治疗模式[J].中华耳鼻咽喉头颈外科杂志,2012,47(6):441-444.
[17] 宁德花,朱瑜琪.病人不依从性的潜在医疗风险及改善策略[J].临床误诊误治,2010,23(1):3-5.
[18] 钟伟,黄小燕,张剑.变应性鼻炎治疗新进展[J].国际耳鼻咽喉头颈外科杂志,2013,37(3):162-164.
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