脑出血术后癫痫患者的遵医行为调查

目的分析脑出血术后癫痫患者遵医行为影响因素，探讨强化遵医行为对策。方法选择56例脑出血术后癫痫患者，采用问卷调查的形式，对患者定期检查、戒除烟酒、遵医嘱用药、饮食控制、适度社会活动5个遵医行为维度展开调查，比较年龄、文化程度、病程、医疗费用支付方式、家庭人均收入对其影响。结果脑出血术后癫痫患者5个维度的完全遵医顺序为：定期检查（55．36％）〉戒除烟酒（53．57％）〉遵医嘱用药（50％）〉饮食控制（44．64％）〉适度社会活动（42．86％）；文化程度越高、年龄越轻、病程越短、收入越高，完全遵医行为的依从性越高，参加医疗保险患者遵医行为明显高于自费患者（P〈0．05）。结论脑出血术后癫痫患者总体遵医行为较差．应建立完善的社会支持系统，加强患者的心理疏导和健康教育，强化患者的遵医行为。

Compliance behavior survey in patients with epilepsy after cerebral hem- orrhage operation

Objective To analyze the influence factors of compliance behavior in patients with epilepsy alter cerebral hemorrhage operation, discuss countermeasures for strengthening compliance behavior. Methods 56 cases of patients with epilepsy after cerebral hemorrhage operation were selected. The form of questionnaire survey was adopted, and 5 compliance behavior dimensions of periodic inspection, quitting drinking and smoking, prescribed medication, diet control, moderate social activities were investigated. Then the effects of age, culture level, course of disease, medical payment, family per capita income on compliance behavior were compared. Results The sequence of 5 dimensional compliance behaviors in patients with epilepsy after cerebral hemorrhage operation were periodic inspection （55.36%） 〉 quitting drinking and smoking （53.57%） 〉 prescribed medication （50.00%） 〉 diet control （44.64%） 〉 moderate so- cial activities （42.86%）. Patients with greater fully compliance behavior; the candy higher than that of patients with with epilepsy after cerebral hemorrhage higher education level, younger, shorter course of disease, higher incomes had compliance behavior of patients participated in medical insurance was signifi- their own expenses （P 〈 0.05）. Conclusion The compliance behavior in patients operation is poor, social supporting system should be established and perfected, patients psychological and health education should be strengthened, in order to strength the medical compliance be- havior of patients.