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目的:探讨影响慢性鼻-鼻窦炎患者外科治疗依从性的因素。方法:对386例慢性鼻-鼻窦炎患者逐一进行疾病宣教,对未依从者定期随访半年,了解患者拒绝手术的原因并对其一般资料进行统计分析。结果:386例患者中,依从治疗197例,非依从189例,依从率为51.04%。通过单因素χ~2检验与多因素Logistic回归分析得出影响依从性的因素有患者文化水平与视觉模拟量表评分。结论:患者文化水平越高,依从性越差;VAS评分越高,患者依从性越好,如何提高慢性鼻-鼻窦炎患者的依从性将仍需不断探讨。
Objective: To explore the factors influencing surgical compliance in patients with chronic rhinosinusitis. Methods: A total of 386 patients with chronic rhinosinusitis were enrolled in the study. The patients were followed up for six months regularly to find out the reason of patients’ rejection and to make statistical analysis on the general information. Results: Of the 386 patients, 197 were compliant and 189 were non-compliant. The compliance rate was 51.04%. Through the single factor χ ~ 2 test and multivariate Logistic regression analysis of factors that affect the compliance of patients with cultural level and visual analog scale score. Conclusion: The higher the level of education, the worse the compliance; the higher the VAS score, the better the patient compliance, and how to improve the compliance of chronic rhinosinusitis patients will still need to be explored.