目的 探讨急性阑尾炎(acute appendicitis，AA)腹腔镜手术患儿遵医行为现状及影响因素。方法 选取2021年1月-2023年9月在南京医科大学附属儿童医院行AA腹腔镜手术的763例患儿及家长为研究对象。采用一般情况调查表、遵医行为量表、社会支持评定量表(Social Support Rating Scale，SSRS)对患儿及家长进行调查，根据患儿遵医行为量表评分，将患儿分为遵医行为良好组和遵医行为不良组，采用单因素和多因素Logistic回归分析影响患儿遵医行为的因素。结果 研究样本共有763例患儿及家长，实际调查有效例数为680例;680例患儿中，有197例遵医行为良好，483例遵医行为不良，不良率为71。03％;患儿遵医行为中，合理饮食评分最高，自我管理评分最低。两组患者的患儿年龄、家长年龄、文化程度、人均月收入、职业状态、婚姻状态、SSRS评分比较差异具有统计学意义(P＜0。05)。患儿年龄小、家长年轻、家长文化程度低、SSRS评分＜41。73分是影响患儿遵医行为的独立危险因素(P＜0。05)。结论 AA腹腔镜手术患儿遵医行为普遍较差，其独立危险因素有患儿年龄小、家长年轻、家长文化程度低、SSRS评分低，对以上因素进行干预，有助于改善患儿遵医行为。
Current Status and Influencing Factors of Treatment Compliance of Children with Acute Appendicitis after Laparoscopic Surgery
Objective To explore the current status and influencing factors of treatment compliance in children with acute appendicitis(AA)after laparoscopic surgery.Methods A total of 763 children with AA undergoing lapa-roscopic surgery in Childrens Hospital Affiliated to Nanjing Medical University and their parents were enrolled as the research objects between January 2021 and September 2023.Children and their parents were investigated by general situation questionnaire,treatment compliance scale and social support rating scale(SSRS).According to scores of treatment compliance scale,children were divided into good compliance group and poor compliance group.The influencing factors of treatment compliance were analyzed by univariate and multivariate logistic regres-sion analysis.Results Of the 763 children and their parents,there were 680 effective cases.Among the 680 children,there were 197 cases with good treatment compliance and 483cases with poor compliance,and poor compliance rate was 71.03％.In terms of treatment compliance,score of reasonable diet was the highest,while score of self-management was the lowest.There were significant differences in children's age,parents'age,education level,monthly income per capital,occupational status,marital status and SSRS score between the two groups(P＜0.05).Young children's age,young parents'age,low educa-tion level and SSRS score＜41.73 points were independent risk factors of treatment compliance(P＜0.05).Conclusion The treatment compliance is generally poor in children with AA after laparoscopic surgery.Young children's age,young parents age,low education level and low SSRS score are independent risk factors of treatment compliance.Intervention based on these factors is beneficial to improve treatment compliance of children.
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