【摘要】 目的 探讨银屑病患者心理状态、社会支持水平与治疗依从性的关系。方法 对2020年3月-2022年2月在南阳市某三甲医院接受治疗190例银屑病患者进行调查，采用Pearson相关性分析心理状态、社会支持水平与治疗依从性的关系，并分析治疗依从性的影响因素。结果 本研究190例银屑病患者治疗依从性平均得分为（73.52±8.75）分，治疗依从性好组118例（62.11%），治疗依从性差组72例（37.89%）。两组患者在年龄、银屑病家族史、是否接受过健康宣教、心理状态、社会支持水平方面比较差异均有统计学意义（P <0.05）。多因素logistics回归分析显示，年龄、银屑病家族史、未接受过健康宣教、焦虑、抑郁、社会支持水平是影响银屑病患者治疗依从性的影响因素（P <0.05）。经Pearson相关性分析显示，HAMD、HAMA评分与治疗依从性呈负相关（r=-0.694,-0.701,P <0.001）,SSRS评分与治疗依从性呈正相关（r=0.726,P <0.001）。结论 银屑病患者焦虑、抑郁心理与治疗依从性呈负相关，社会支持与治疗依从性呈正相关，临床应重视老年患者、具有银屑病家族史、焦虑、抑郁、社会支持水平低下患者的健康宣教和干预，以提升其治疗依从性。更多还原

【Abstract】 Objective To explore the relationship between psychological state, social support level and treatment compliance in patients with psoriasis. Methods 190 patients with psoriasis who were treated in a tertiary hospital in Nanyang city from March 2020 to February 2022 were investigated. Pearson correlation was used to analyze the relationship and influencing factors between psychological state, social support level and treatment compliance. Results In this study, the average score of treatment compliance of 197 patients with psoriasis was(73.52 ± 8.75)points. There were 118 patients(62.11%)in the treatment compliance group and 72 patients(37.89%)in the poor treatment compliance group. There were significant differences in age, family history of psoriasis, health education, psychological state, and social support level between the two groups(P < 0.05). Multivariate logistic regression analysis showed that age, family history of psoriasis, lack of health education, anxiety, depression and social support level were the influencing factors of treatment compliance in patients with psoriasis(P < 0.05). Pearson correlation analysis showed that HAMD and HAMA scores were negatively correlated with treatment compliance(r =-0.694,-0.701, P < 0.001), and SSRS score was positively correlated with treatment compliance(r = 0.726,P < 0.001). Conclusion Anxiety and depression in patients with psoriasis are negatively correlated with treatment compliance, while social support is positively correlated with treatment compliance. Clinical attention should be paid to health education and intervention in elderly patients, and those patients with family history of psoriasis, anxiety, depression, and low levels of social support in order to improve their treatment adherence.更多还原