Beniwal Sunil, Sharma Bharat Bhushan, Singh Virendra
Department of Medicine, SMS Medical College, Jaipur.
J Assoc Physicians India. 2011 Jun;59:360-4.
To study the awareness, attitude and behavior of patients with chronic disease in those who come for follow-up, about nature of their disease, compliance to drugs and precautions.
Patients attending medical outdoor with a prescription documents (discharge cards, pensioner diary, prescription letter etc.) bearing diagnosis of the chronic disease in question based on standard criteria were studied for a period of six month. Patient with chronic disease completed a questionnaire containing questions about nature of disease, important precautions and compliance to the treatment.
Of the 63 coronary artery disease (CAD) patients 27 (42.8%) were not aware of having heart disease ever in the life. Twenty nine (44%) CAD patients noncompliant for medicines during last one month. Among 84 hypertensive patients only 58 (69%) knew they had hypertension and 54 (64.2%) compliant with medicine. Only 40 (47.6 %) out of 84 avoided salt in food. Though, out of 36 diabetic patients 34 (94.4%) percent knew they had diabetes, still 19 (52.7%) stopped medicine during last month. Among 29 chronic obstructive pulmonary disease (COPD) patients only 6 (20.6%) knew they had COPD and another 17(58.6%) knew they had respiratory problem. Only 5 (17.2%) COPD patients remembered the no-smoking advice. Out of 23 CVA patients 17 (74%) knew that they have paralysis and 8 (34.7%) stopped medication during last month.
It is concluded that majority of patients were ignorant about their disease, importance of compliance to medicines and about precautions of the disease. CAD patients were most ignorant people among chronic patients. It emphasizes the need of proper patient education
研究前来复诊的慢性病患者对自身疾病性质、药物依从性及预防措施的认知、态度和行为。
依据标准对持相关慢性病诊断处方文件（出院小结、退休人员病历、处方笺等）前来门诊的患者进行为期6个月的研究。患有慢性病的患者需填写一份问卷，内容涉及疾病性质、重要预防措施及治疗依从性。
63例冠状动脉疾病（CAD）患者中，27例（42.8%）从未意识到自己患有心脏病。29例（44%）CAD患者在过去一个月未遵医嘱服药。84例高血压患者中，仅58例（69%）知晓自己患有高血压，54例（64.2%）遵医嘱服药。84例患者中只有40例（47.6%）在饮食中避免高盐。虽然36例糖尿病患者中有34例（94.4%）知道自己患有糖尿病，但仍有19例（52.7%）在过去一个月停药。29例慢性阻塞性肺疾病（COPD）患者中，仅6例（20.6%）知道自己患有COPD，另有17例（58.6%）知道自己有呼吸问题。只有5例（17.2%）COPD患者记得戒烟建议。23例脑血管意外（CVA）患者中，17例（74%）知道自己瘫痪，8例（34.7%）在过去一个月停药。
得出的结论是，大多数患者对自身疾病、药物依从性的重要性以及疾病预防措施一无所知。CAD患者是慢性病患者中最无知的群体。这凸显了进行恰当患者教育的必要性
