[1] 杨婷婷. 影响面部痤疮患者治疗依从性的相关因素分析[J].中国美容医学,2021,(2):151-154.
　 YANG Ting-ting. Analysis of Related Factors Affecting Treatment Compliance of Patientswith Facial Acne[J].Medical Aesthetics and Beauty,2021,(2):151-154.
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 影响面部痤疮患者治疗依从性的相关因素分析
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年2期
页码:
151-154
栏目:
出版日期:
2021-02-10

文章信息/Info

Title:
 Analysis of Related Factors Affecting Treatment Compliance of Patients
with Facial Acne
文章编号:
1008-6455（2021）02-0151-04
作者:
 杨婷婷
Author(s):
 YANG Ting-ting
关键词:
 [关键词]痤疮; 美观满意度; 社会心理因素; 依从性; 焦虑; 抑郁; 自我认同
Keywords:
 Key words: acne;  aesthetic satisfaction;  socio-psychological factors;  compliance;  anxiety;  depression;  self-identity
分类号:
R758.73+3
文献标志码:
A
摘要:
[摘要]目的：探讨美观满意度与社会心理因素对面部痤疮患者治疗依从性的影响。方法：纳入2017年1月-2019年1月在笔者
科室门诊就诊的痤疮患者239例，通过门诊/电话随访患者遵循医嘱治疗情况，评估患者治疗依从性，以依从性评分中位数划
分为依从性良好组和依从性较差组，采用问卷调查方式收集两组患者临床资料，对比治疗后面部美观满意度、社会支持度及
社会心理因素等相关指标；分析影响面部痤疮患者治疗依从性的相关因素。结果：依从性较差组患者担忧药物不良反应、焦
虑自评量表（Self-rating anxiety scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）评分方面高于
依从性良好组，治疗信心、耐心程度、皮肤美观满意度、社会支持度、自我认同感评分方面低于依从性良好组，差异具有统
计学意义（P ＜0.05）。多因素线性回归方程显示，对治疗缺乏信心（t =-7.596）、SDS评分越高（t =-2.404）、SAS评分越
高（t =-3.361）、对治疗缺乏耐心（t =-3.798）、皮肤美观满意度低（t =2.476）是影响痤疮患者治疗依从性的独立相关因
素（P ＜0.05）。结论：社会心理因素、个人对皮肤美观满意度、负性情绪在很大程度上能够影响痤疮患者治疗依从性，临
床工作中可针对性地采取措施，给予此类患者更多的支持和关怀。

Abstract:
Abstract: Objective To explore the effect of aesthetic satisfaction and social psychological factors on the treatment compliance
of patients with facial acne. Methods 239 acne patients who were treated in the outpatient department of dermatology
department of dermatology, the first affiliated hospital of air force military medical university from January 2017 to January
2019 were included. The patients were followed up by outpatient/telephone follow-up treatment according to the doctor’s
instructions to evaluate the patient’s treatment compliance. The median compliance score was divided into good compliance
group and poor compliance group. A questionnaire survey was used to collect the clinical data of the two groups of patients, and
the related indexes such as aesthetic satisfaction, social support and social psychological factors after treatment were compared;
Analyze the relevant factors that affect the treatment compliance of facial acne patients. Results The patients in the poor
compliance group had higher scores of worrying about adverse drug reactions, SAS and SDS than those in the good compliance
group, the scores of treatment confidence, patience, skin beauty satisfaction, social support and self-identity were lower than
those of the good compliance group, the differences were statistically significant(P ＜0.05). Multivariate linear regression
equation showed that lack of confidence in treatment (t =-7.596), higher SDS score (t =-2.404), higher SAS score (t =-3.361),
lack of patience with treatment (t =-3.798) and low satisfaction with skin appearance (t =2.476) were independent related factors
influencing the treatment compliance of acne patients(P ＜0.05). Conclusion Socio-psychological factors, personal satisfaction
with skin aesthetics and negative emotions can affect the treatment compliance of acne patients to a large extent. In clinical
work, targeted measures can be taken to give such patients more support and care.

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更新日期/Last Update: 2021-03-09