ABSTRACT
Objective To explore the status of medication adherence among patients with depressive disorder and analyze its potential influencing factors.Methods A total of 406 patients with depression who visited our hospital from January 2015 to December 2017 were selected as subjects of study.General data of patients were collected at the time of consultation,and drug adherence questionnaire was used to score the patients at 6 months of follow-up.According to the score,406 patients were divided into high adherence group,middle adherence group and low adherence group,the correlation between medication adherence and humanistic factors,chronic diseases and course of disease was analyzed.Results Compared with the low adherence group,the proportion of age (＞60 years old),education (＜6 years),no spouse,peasant,monthly income (＜ 3 000 yuan),self-funded medical treatment,insomnia history,solitude and negative life events decreased significantly in the middle and high adherence groups.Cadre ratio and the proportion of workers in the middle adherence group increased significantly (P ＜ 0.05).Compared with the low adherence group,the course of disease in the middle and high adherence group was significantly shorter (P ＜ 0.01).Logistic regression analysis showed that education ＜ 6 years,no spouse,farmers,low income,self-paid medical treatment,solitude,negative life events,course of disease were independently correlated with low adherence of depression patients (P ＜ 0.05 or P ＜ 0.01).Conclusions Depression patients have low adherence with medication,so targeted health education should be carried out.Especially for patients with a long course of illness,continuous nursing and long-term follow-up should be done well.Mobilizing family support system,caring for and respecting patients can effectively reduce the occurrence of negative life events.It can improve the medication adherence of depressive patients and promote their early recovery.
ABSTRACT
Objective@#To explore the status of medication adherence among patients with depressive disorder and analyze its potential influencing factors.@*Methods@#A total of 406 patients with depression who visited our hospital from January 2015 to December 2017 were selected as subjects of study. General data of patients were collected at the time of consultation, and drug adherence questionnaire was used to score the patients at 6 months of follow-up. According to the score, 406 patients were divided into high adherence group, middle adherence group and low adherence group, the correlation between medication adherence and humanistic factors, chronic diseases and course of disease was analyzed.@*Results@#Compared with the low adherence group, the proportion of age (>60 years old), education (<6 years), no spouse, peasant, monthly income (<3 000 yuan), self-funded medical treatment, insomnia history, solitude and negative life events decreased significantly in the middle and high adherence groups. Cadre ratio and the proportion of workers in the middle adherence group increased significantly (P<0.05). Compared with the low adherence group, the course of disease in the middle and high adherence group was significantly shorter (P<0.01). Logistic regression analysis showed that education < 6 years, no spouse, farmers, low income, self-paid medical treatment, solitude, negative life events, course of disease were independently correlated with low adherence of depression patients (P<0.05 or P<0.01).@*Conclusions@#Depression patients have low adherence with medication, so targeted health education should be carried out. Especially for patients with a long course of illness, continuous nursing and long-term follow-up should be done well.Mobilizing family support system , caring for and respecting patients can effectively reduce the occurrence of negative life events. It can improve the medication adherence of depressive patients and promote their early recovery.
ABSTRACT
Objective To observe the long- term result of pathological dislocation of the hip with absence of the femoral head treated with trochanteric arthroplasty in infancy. Methods Eighteen cases with absence of the femoral head and pathological dislocation of the hip treated with trochanteric arthroplasty were followed- up for 5－ 16 years, with an average of 9.25 years. The timing of the surgery was average 18.2 months(ranged from 11 to 30 months). Based on Hunka pathological classification, one case was divided as typeⅠ lesion, 2 cases as typeⅡ lesion and 15 cases as typeⅤ lesion. Results There were 8 cases in the excellent group, the morphology and function of the reconstructed femoral heads were nearly normal and the limb shortening were in an average of 0.25 cm. There were 3 cases in good group, the femoral heads were nearly ball sized and the femoral necks were absent, however, the function was good and the limb shortening averaged 1.5 cm. There were 5 cases in fair group, the plastic femoral heads were abnormal and there were acetabular dysplasia and the limb shortening averaged 2.1 cm. There were 2 cases in poor group with redislocation. Conclusion The result demonstrate that surgical treatment of the absence of the femoral head in infancy could obtain a better reconstructed hip and fair function; the shortening of the limb can also be avoided.