| Objectives1. Observe the influencing factors of bee-sting therapeutic compliance of patients with Bi Syndrome.2. Observe the relation between compiance and curative effect.3. Summarize a series of methods to enhance the bee-sting therapy compliance of patients with Bi Syndrome.Method1. Case choosing: The patients who met the inclusion criteria,61 cases of The first affiliated hospital of Guangzhou university of TCM were included.2. Experimental Steps:Designing questionnaire, collecting the patients' general information (name, outpatient service number, gender, age, occupation, the contact method, cultural degree), disease related information (diagnosis, course of disease, accept bees needle treatment time, treatment frequency, Curative effect), and influence factors.3. Observation index:(1) calculating patients' compliance (the actual number of treatment frequencies/orders 100%). For new patients, timely record for the first month and the second month of treatment frequencies and for r old patients, calculating compliance base on the medical record and their memory. (2) according to the patients'compliance situation, recording the factors affect medication adherence. (3) Recording patients'pain visual score (VAS)when they finish the first and the second month treatment. (4) Surveying specific reasons influence the medication adherence. (5) Accordance to the above results, Summarize a series of methods to enhance the bee-sting therapy compliance of patients with Bi Syndrome. Results 1,about gender composition of three groups, Both of Rheumatoid arthritis (RA) group and Ankylosing Spondylitis (AS) group have statistically significant differences in gender composition, most of Rheumatoid Arthritis are female (P=0.000<0.01), and most of Ankylosing Spondylitis are male(P=0.001 <0.01). About average age of three groups, the AS group is the youngest, and it has statistically significant differences in average age than that of the other tow groups (P=0.001<0.01). But there are not statistically significant differences in average age between the other tow groups. In the aspect of whether the patient has received higher education, there are statistically significant differences among three group and The AS group has the highest percentage (P=0.026<0.05). About course of disease, there are not statistically significant differences among three group. There also are not statistically significant differences in VAS among three group pre-treatment(P>0.05).2,There are not statistically significant differences in patients'therapeutic compliance in the first month and that of the second month between female and male (P>0.05).3,All of the degree of education, course of disease, and VAS post-treatment are non-correlated with patients'therapeutic compliance in both tow month.4,In patients'therapeutic compliance of the first month, there is not statistically significant differences between the patients who have receive higher education and those who don't have (P>0.05), but in that of the second month, they have statistically significant differences.5,There was a linear correlation between VAS post-treatment of bee-sting and patients'therapeutic compliance of the first month(r2=0.586) and second month(r2=0.892). It means that 58.6 percent of the value of therapeutic compliance in the first month has the relationship with VAS per-treatment, and 89.2 percent of the value of therapeutic compliance in the second month has the relationship with VAS per-treatment.6,There was a linear correlation between the improvation of VAS and patients'therapeutic compliance of the first month (r2=0.330) and second month(r2=0.530).It means that 33.0 percent of the value of therapeutic compliance in the first month has the relationship with the improvation of VAS, and 53.0 percent of the value of therapeutic compliance in the second month has the relationship with the improvation of VAS.7,It have statistically significant differences in VAS between post-treatment than pre-treatment ((P=0.000<0.05), VAS post-treatment descend obviously. The value of patients'therapeutic compliance of the first month is less than that of the second month obviously, the differences is statistically significant (P=0.000<0.05).8,Multiple regression analysis show that among those influencing factors for therapeutic compliance of the first month, the variable such as VAS per-treatment and the improvation of VAS have significance. The regression equation is Y1=6.209X5+3.263X7+7.053. Among those influencing factors for therapeutic compliance of the second month, the variable such as VAS per-treatment, the improvation of VAS, and the degree of education have significance. The regression equation is Y 2=-0.934 +10.768X4+4.469X6+10.506X7.In the survey of reasons for good compliance, all patients know the harm of the disease, and realize that they must insist to be treated for a long time by bee-sting therapy.74.49 percent of the patients believe that bee-sting therapy can control the disease well.79.92 percent of the patients think that it can ease the pain effectively.64.10 percent of the patients say that they insist to be treated by bee-sting because they trust in the doctor.38.46 percent of the patients choose bee-sting therapy because they think that there are big side-effect of the oral medicines.In the survey of reasons for bad compliance, most of the patients say that they don't insist to be treated by bee-sting due to time and space limitations and dissatisfaction with the curative effect. These tow reasons get 90.91 percent,27.27 percent respectively.Expensive treatment, long course of treatment, worrying about the side-effect of the treatment, and lack of cognition for the diseases are also the reasons for bad compliance. ConclusionsAll of the degree of education, course of disease, and VAS post-treatment are non-correlated with patients'therapeutic compliance in both tow month. In patients'therapeutic compliance of the first month, there is not statistically significant differences between the patients who have receive higher education and those who don't have (P>0.05), but in that of the second month, they have statistically significant differences (P<0.05). It means that at the beginning of the treatment the level of education don't influence the patients'therapeutic compliance so much. But in the follow-up therapeutic process, patients who have received higher education tend to insisting to be treated by bee-sting. It can be seen from this that patients who have received higher education can insist to be treated by bee-sting for longer tine than other patients.Both of VAS per-treatment and the improvation of VAS vary directly with the therapeutic compliance. But the course of treatment varies inversely with the therapeutic compliance. Because bee-sting is a therapy which need be insisted for long-term. So how to improve patients'therapeutic compliance during this long-term treatment is very important.The result of the preliminary survey show that the reasons for good compliance is that patients know the harm of the disease, and realize that only they insist to be treated for a long time can bee-sting therapy be effective. The reasons for bad compliance is because of time and space limitations. |
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