医生电话随访对冠脉支架术后患者服药依从性的影响(1)
[摘要] 目的 探讨医生电话随访对冠脉支架术后患者服药依从性的影响。 方法 将150例冠脉支架术后患者随机分为随访组(75例)和对照组(75例)两组，出院时叮嘱入选患者术后1年内需服五类药物：阿司匹林、氯吡格雷、β受体阻滞剂、ACEI(或ARB)及他汀类药物，只对随访组患者进行电话随访。出院1年后评定两组患者的依从性。 结果 随访组患者的完全依从性和总依从性均较对照组患者高，差异有统计学意义(P<0.05)，不依从性较对照组患者低，差异有统计学意义(P<0.05)。 结论 医生电话随访能明显提高冠脉支架术后患者服药依从性。
[关键词] 电话随访；冠脉支架植入术；依从性
[中图分类号] R541.4?[文献标识码] B?[文章编号] 2095-0616(2012)16-127-02
Effects of doctor's telephone follow-up on compliance with doctor's advice in patients atter intracoronary stenting
SUN?Yanhua1?JIN?Nina2?ZHANG?Gaoxing1?LIN?Ruming1?LAI?Zhaoxin1?TAN?Wenfeng1
PENG?Yucheng1?REN?Qiang1?GAO?Weidong1?LAI?Junxing1?SONG?Anjian1
1.Department of Cardiology, Affiliated Jiangmen Hospital of Sun Yat-sen University, Jiangmen 529030,China;2.Department of Respiratory Medicine,Affiliated Jiangmen Hospital of Sun Yat-sen University, Jiangmen 529030,China
[Abstract] Objective To observe the effects of doctor's telephone follow-up on compliance with doctor's advice in patients atter intracoronary stenting. Methods 150 patients after intracoronary stenting randomly divided into the follow-up group(75 patients) and control group(75 patients). Patients in the two groups were instructed orally to take five kinds of drugs(aspirin, clopidogrel, beta-blockers, statins, ACEI/angiotensin receptor blockers). We only made the telephone follow-up to the follow-up group after they left hospital. Compliance was compared between two groups one year later. Results The rate of compliance completely and overall compliance were higher in the follow-up group than that in control group(P<0.05). The rate of no compliance was lower in the follow-up group than that in control group(P<0.05). Conclusion Telephone follow-up with doctors can increase patients' compliance of taking drugs in patients after intracoronary stenting.
[Key words] Telephone follow-up; Intracoronary stenting; Compliance with doctor's advice
冠状动脉粥样硬化性心脏病(简称冠心病)已成为患者死亡及再住院的主要原因之一[1]。冠状动脉支架植入术(简称冠脉支架术，PCI)后需强化药物治疗，如无禁忌证，患者需长期服用阿司匹林、β受体阻滞剂、ACEI(或ARB)及他汀类药物，服氯吡格雷1年。但部分医生和患者对冠脉支架术后服药重视不够，严重影响了冠脉支架术后患者的预后。笔者对75例冠脉支架术后患者进行电话随访，旨在探讨电话随访对其服药依从性的影响。
1?资料与方法
1.1?一般资料
选择2008年1月～2009年2月于笔者所在医院心血管内科行冠脉支架术并好转出院的150例冠心病患者为研究对象，随机分为随访组(75例)和对照组(75例)两组。年龄37～76岁，平均(62.3±4.7)岁；男112例，女38例；其中急性ST段抬高心肌梗死18例，急性非ST段抬高心肌梗死9例，不稳定型心绞痛113例，稳定型心绞痛10例。入选标准：(1)所有入选患者每月至少于笔者所在科室门诊随诊1次；(2)患者无心绞痛、心力衰竭发作，无支气管哮喘病史，无肺、肝、肾、脑等重要脏器疾病；(3)患者具备良好的学习能力和理解能力；(4)得到了患者及其家属的知情同意。排除标准：(1)1年内死亡的患者；(2)收缩压<110 mm Hg和(或)舒张压<70 mm Hg；(3)静息下心率<70次/min；(4)患者及其家属不同意入选为研究对象。, http://www.100md.com(孙炎华 靳妮娜 张高星 林如明 赖兆新 谭文峰 彭宇程 任强 高伟栋 赖浚兴 岸)
[关键词] 电话随访；冠脉支架植入术；依从性
[中图分类号] R541.4?[文献标识码] B?[文章编号] 2095-0616(2012)16-127-02
Effects of doctor's telephone follow-up on compliance with doctor's advice in patients atter intracoronary stenting
SUN?Yanhua1?JIN?Nina2?ZHANG?Gaoxing1?LIN?Ruming1?LAI?Zhaoxin1?TAN?Wenfeng1
PENG?Yucheng1?REN?Qiang1?GAO?Weidong1?LAI?Junxing1?SONG?Anjian1
1.Department of Cardiology, Affiliated Jiangmen Hospital of Sun Yat-sen University, Jiangmen 529030,China;2.Department of Respiratory Medicine,Affiliated Jiangmen Hospital of Sun Yat-sen University, Jiangmen 529030,China
[Abstract] Objective To observe the effects of doctor's telephone follow-up on compliance with doctor's advice in patients atter intracoronary stenting. Methods 150 patients after intracoronary stenting randomly divided into the follow-up group(75 patients) and control group(75 patients). Patients in the two groups were instructed orally to take five kinds of drugs(aspirin, clopidogrel, beta-blockers, statins, ACEI/angiotensin receptor blockers). We only made the telephone follow-up to the follow-up group after they left hospital. Compliance was compared between two groups one year later. Results The rate of compliance completely and overall compliance were higher in the follow-up group than that in control group(P<0.05). The rate of no compliance was lower in the follow-up group than that in control group(P<0.05). Conclusion Telephone follow-up with doctors can increase patients' compliance of taking drugs in patients after intracoronary stenting.
[Key words] Telephone follow-up; Intracoronary stenting; Compliance with doctor's advice
冠状动脉粥样硬化性心脏病(简称冠心病)已成为患者死亡及再住院的主要原因之一[1]。冠状动脉支架植入术(简称冠脉支架术，PCI)后需强化药物治疗，如无禁忌证，患者需长期服用阿司匹林、β受体阻滞剂、ACEI(或ARB)及他汀类药物，服氯吡格雷1年。但部分医生和患者对冠脉支架术后服药重视不够，严重影响了冠脉支架术后患者的预后。笔者对75例冠脉支架术后患者进行电话随访，旨在探讨电话随访对其服药依从性的影响。
1?资料与方法
1.1?一般资料
选择2008年1月～2009年2月于笔者所在医院心血管内科行冠脉支架术并好转出院的150例冠心病患者为研究对象，随机分为随访组(75例)和对照组(75例)两组。年龄37～76岁，平均(62.3±4.7)岁；男112例，女38例；其中急性ST段抬高心肌梗死18例，急性非ST段抬高心肌梗死9例，不稳定型心绞痛113例，稳定型心绞痛10例。入选标准：(1)所有入选患者每月至少于笔者所在科室门诊随诊1次；(2)患者无心绞痛、心力衰竭发作，无支气管哮喘病史，无肺、肝、肾、脑等重要脏器疾病；(3)患者具备良好的学习能力和理解能力；(4)得到了患者及其家属的知情同意。排除标准：(1)1年内死亡的患者；(2)收缩压<110 mm Hg和(或)舒张压<70 mm Hg；(3)静息下心率<70次/min；(4)患者及其家属不同意入选为研究对象。, http://www.100md.com(孙炎华 靳妮娜 张高星 林如明 赖兆新 谭文峰 彭宇程 任强 高伟栋 赖浚兴 岸)