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慢性心力衰竭患者治疗依从性及影响因素 摘要:目的 了解慢性心力衰竭患者治疗的依从性及其影响因素。方法 对我院心内科门诊及住院部的已确诊为慢性心力衰竭患者共153例,进行询问的方式,了解治疗依从性及其影响因素。并以依从性好差分两组作对比分析。结果 依从性好的患者60例,占全部心衰患者的39%,两组在年龄、病程、文化程度、家庭经济情况、治疗费用、患者对疾病和药物的了解、伴有其他疾病和专门健康教育方面有显著差异。结论 我们县慢性心衰的患者中,治疗的依从性并不很好,多种因素影响依从性。关键词:慢性心力衰竭;依从性慢性心力衰竭(以下简称心衰)是各种心脏疾病发展到终末阶段表现出的一种临床综合征,发病率和死亡率高、预后严重。据统计我国成人症状性慢性心衰的患病率为0.9% ,男性多于女性,患病率随年龄增大而上升,55岁时的患病率已达1.3%;而在大于65岁的人群中,根据不同的统计,慢性心衰的患病率高达3-13%[1]。传统的强心、利尿、扩血管治疗虽能减轻心衰症状,但是不能降低死亡率,目前基于循证医学的现代治疗理论构成了慢性心衰的规范治疗方法,特别是β受体阻滞剂和血管紧张素转换酶抑制剂(ACEI)被广泛用于慢性心衰的治疗以来,已经使慢性心衰的再住院率、全因死亡率、心源性死亡率明显下降。但因为各种因素,患者治疗依从性差成为该治疗的主要障碍。本研究以询问门诊和住院的慢性心衰患者的方式,分析患者的治疗依从性及其影响因素。
慢性心力衰竭患者治疗依从性及影响因素 摘要:目的 了解慢性心力衰竭患者治疗的依从性及其影响因素。方法 对我院心内科门诊及住院部的已确诊为慢性心力衰竭患者共153例,进行询问的方式,了解治疗依从性及其影响因素。并以依从性好差分两组作对比分析。结果 依从性好的患者60例,占全部心衰患者的39%,两组在年龄、病程、文化程度、家庭经济情况、治疗费用、患者对疾病和药物的了解、伴有其他疾病和专门健康教育方面有显著差异。结论 我们县慢性心衰的患者中,治疗的依从性并不很好,多种因素影响依从性。关键词:慢性心力衰竭;依从性慢性心力衰竭(以下简称心衰)是各种心脏疾病发展到终末阶段表现出的一种临床综合征,发病率和死亡率高、预后严重。据统计我国成人症状性慢性心衰的患病率为0.9% ,男性多于女性,患病率随年龄增大而上升,55岁时的患病率已达1.3%;而在大于65岁的人群中,根据不同的统计,慢性心衰的患病率高达3-13%[1]。传统的强心、利尿、扩血管治疗虽能减轻心衰症状,但是不能降低死亡率,目前基于循证医学的现代治疗理论构成了慢性心衰的规范治疗方法,特别是β受体阻滞剂和血管紧张素转换酶抑制剂(ACEI)被广泛用于慢性心衰的治疗以来,已经使慢性心衰的再住院率、全因死亡率、心源性死亡率明显下降。但因为各种因素,患者治疗依从性差成为该治疗的主要障碍。本研究以询问门诊和住院的慢性心衰患者的方式,分析患者的治疗依从性及其影响因素。1 对象与方法1.1 对象 2005年9月至2006年12月本院心内科门诊或住院部的已确诊为慢性心衰患者,瓣膜性心脏病除外,均为复诊或再次入院,共153例,其中男93例、女60例,年龄58.3±12.6岁。病程3.3±1.8年 1.2 方法 设计表格,表格内容包括:患者的一般情况、诊疗过程、症状的进展、对药物的了解,院外执行医嘱情况、不执行医嘱的原因等。然后与患者进行交谈,询问表格相关内容,最后对表格进行分析处理。根据表格内容,患者分为依从性好和依从性差两组。依从性的判断标准为:依从性好,按医嘱服药,定期复诊,接受医务人员健康教育,遵守日常生活规范要求;依从性差,有漏、忘服药及私自减量、擅自停药、换药现象,不定时复诊和检查,拒绝接受医务人员健康教育,日常生活行为不良。最后统计分析两组间差异。1.3 统计分析 计量资料用均数±标准差表示。记数资料用卡方检验,计量资料用t 检验结果总共153例患者,有60例依从性较好,占39%,依从性差的患者占61%。两组患者的一般情况比较性别构成在两组没有统计学差异,在依从性差组的年龄明显比在依从性好组大(P<0.001),小学文化、经济情况差和自费的例数在依从性差组明显比在依从性好组多(P<0.001)。依从性差组的病程也比依从性好组长(P<0.001)(见表1)表1 两组患者一般情况比较 性别 文化程度 病程 治疗费用 家庭经济情况 ---------- 年龄(岁) ------------------- ----------------- --------------- 男 女 小学 中学 大学 (年) 自费 医保 差 一般 好依从性好 38 22 53.2±8.3 12 41 7 2.2±0.7 16 44 2 38 20依从性差 55 38 62.6±7.2 51 36 6 3.9±2.1 67 26 35 39 19两组患者特殊项目的比较在依从性好组,对病情的认知、了解药物的作用、了解未按时服药对治疗的影响和专门健康教育这些方面的患者例数明显比依从性差组多,而相反,伴有其他疾病方面比依从性差组少。了解服药的时间和了解药物的副作用方面,两组没有明显差异。(见表2)表2 两组患者各项目的例数
The9 Limited to Begin Close Beta Test of Audition 2 Soon Shanghai, China – July 10, 2008. The9 Limited (NASDAQ: NCTY) (“The9”), a leading online game operator and developer in China, today announced that it will start the close beta test of Audition 2 very soon.Ms. Xiaowei Chen, President of The9 Limited, commented: “We recently entered a joint venture agreement with T3 Entertainment to deepen our partnership in development and publishing of new games, including Audition 2. This join venture facilitates tighter cooperation and communication regarding Audition 2’s pre-launch preparation, enabling us to bring the healthiest youthful game to Chinese players. It also gives us more confidence in keeping our launch schedule. We will begin Close Beta Test of “Audition 2” very soon, to satisfy the eager anticipation of dance game players.“Audition 2”, the sequel of the online casual dancing game “Audition”, is developed by T3 Entertainment, a renowned Korean online game developer. In April, The9 announced that it invested $38 million in T3’s holding company, G10.About The9 LimitedThe9 Limited is a leading online game operator in China. The9's business is primarily focused on operating and developing high-quality games for the Chinese online game market. The9 directly or through affiliates operates licensed MMORPGs, consisting of MU, Blizzard Entertainment's World of Warcraft, Soul of The Ultimate Nation, Granado Espada, and its first proprietary MMORPG, Joyful Journey West, in mainland China. It has also obtained exclusive licenses to operate additional MMORPGs and advanced casual games in mainland China, including Hellgate: London, Ragnarok Online 2, Emil Chronicle Online, Huxley, FIFA Online 2, Audition 2, Field of Honor, Audition and Atlantica. In addition, The9 is also developing various proprietary games, including Warriors of Fate Online and Fantastic Melody Online.Safe Harbor StatementThis announcement contains forward-looking statements. These statements are made under the “safe harbor” provisions of the U.S. Private Securities Litigation Reform Act of 1995. These forward-looking statements can be identified by terminology such as “will,” “expects,” “anticipates,” “future,” “intends,” “plans,” “believes,” “estimates” and similar statements. Among other things, the business outlook and quotations from management in this press release contain forward-looking statements. The9 may also make written or oral forward-looking statements in its periodic reports to the U.S. Securities and Exchange Commission on Forms 20-F and 6-K, etc., in its annual report to shareholders, in press releases and other written materials and in oral statements made by its officers, directors or employees to third parties. Statements that are not historical facts, including statements about The9's beliefs and expectations, are forward-looking statements. Forward-looking statements involve inherent risks and uncertainties. A number of important factors could cause actual results to differ materially from those contained in any forward-looking statement. Potential risks and uncertainties include, but are not limited to, The9's limited operating history as an online game operator, political and economic policies of the Chinese government, the laws and regulations governing the online game industry, information disseminated over the Internet and Internet content providers in China, intensified government regulation of Internet cafes, The9's ability to retain existing players and attract new players, license, develop or acquire additional online games that are appealing to users, anticipate and adapt to changing consumer preferences and respond to competitive market conditions, and other risks and uncertainties outlined in The9's filings with the U.S. Securities and Exchange Commission, including its annual reports on Form 20-F. The9 does not undertake any obligation to update any forward-looking statement, except as required under applicable law.
9YOU的末日,王子杰跳楼自杀只是时间问题 不的不说9城的狠毒,9YOU的白痴,9城的入主韩国开发公司的股份变相的做了9YOU的老板(为9YOU默哀中),现在的9YOU可以说是一只丧家的狗,不,至少有老板。老板就是他的仇人9城,漫天的负面消息使的9YOU不堪辱骂,现在的9YOU居然还要去日本上市?想赚JAPNESE的钱?还听说要开发日本市场?哈哈笑死偶了,你不怕SONY,任天堂啊,我还没听说过日本所有加起来网游超过十万人呢,街机和漫画还有家机才是他们的主力市场而且第三代家机可以在网络上玩你怎么去占领,日本劲舞就那么可怜的几个服务区,貌似代理商不是你吧,还有听说你代理也日本的游戏,我想说你就拉倒吧,服务器质量那么差老关机还搞,一点不关系玩家的心情我想给大家揭露几个9YOU的黑幕1.关于YY的问题,开始YY要钱的时候根本没人买,为什么突然有了,为什么突然一个晚上就有那么多人有了,你们去分析下5M家族和9YOU的关系就会知道,是GM刷的YY,而且有人也承认和9YOU有关系的家族都会有YY的赠送,他们带动了游戏的走向2.关于色情问题,以前为什么没有后来就多了呢,一个模式的出现,情侣模式,结婚模式,还有就是是谁先刷的喇叭,用钱第一个刷喇叭的不是玩家是9YOU内部的人员,真是阴险家啊3.乐团的悲哀,一个多么被玩家推崇的游戏因为赚不到钱被9YOU给终止了代理,真是可悲啊,从侧面告诉我们,9YOU只要这个游戏不赚钱他们就可以单方面终止游戏的运营,哎我们玩家算什么,他只把我们当钱袋看啊哭死4.还有就是老话题,外挂,现在的挂那叫个牛啊,什么模式的挂都有,在下曾经开了3个挂,就是为了防止别人因为你某个模式不会说你挂,可见他们本身人员的技术不过关,这样一个团体大家指望他们会给我们玩家安全感?5.王子杰先生毕业于上海复旦大学并在日本获得硕士学位,怪不得中国社会因为劲舞出现了这么多问题,这小子就一日本的间谍,破坏我们的和谐社会还有什么的请大家继续找找看我知道就这么多了哈我要等《劲舞50000000000000000000000》出来再玩哈
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