急性心肌梗死晚期再灌注患者出院后服药依从性调查与分析  

Investigation and analysis of medication compliance after discharge in acute myocardial infarction patients with late-reperfusion

作　　者：严文英[1] 王燕妮[1] 

机构地区：[1]西安交通大学第一附属医院心内科,陕西西安710061

出　　处：《第四军医大学学报》2009年第2期159-161,共3页Journal of the Fourth Military Medical University

摘　　要：目的:探讨影响急性心肌梗死晚期再灌注患者出院后服药依从性相关因素.方法:采用量表对急性心肌梗死晚期再灌注患者的人口社会学特征、复诊频度、健康信念及家庭环境与服药依从性间的关系进行调查.结果:①急性心肌梗死晚期再灌注患者不重视疾病、不了解病情、偶尔复诊、不知不依从危害性、没有受过冠心病健康教育、无家庭关爱、收入<300元/月者依从性差,依从率分别为15.5%,15.6%,13%,15.5%,17%,19.5%,29%(P<0.01).②不依从危害性了解越多(OR1.439,95%CI1.106～1.872),越重视病情(OR1.73095%CI1.498～2.205)者,服药依从性越好(P<0.01).结论:医务人员要通过各种形式对心肌梗死晚期再灌注患者加强冠心病的知识教育,提高疾病认知、服药重要性的理解,并结合患者的经济状况,及时调整用药方案,提高服药的依从性.AIM： To study the related factors influencing medi- cation compliance after discharge in acute myocardial infarction patients with late-reperfusion. METHODS： A questionnaire model was used to study the association between variables and medication compliance among acute myocardial infarction patients with late-reperfusion. The variables included were sociological population characteristics, frequency of consultation with doctor, health faith and family environment. RESULTS： Poor compliance was found in patients, who were neglectful of the disease, not knowing the state of illness, neglectful of return visits, not knowing the harmfulness of non-compliance, lack of health, lack of family care, and from the low-income group （ 〈 300 Yuan/ month）. The complianee rates for the above factor were respec- tively 15.5%, 15.6%, 13%, 15.5%, 17%, 19.5% and 29% （P 〈0.01 ）. The better the patients knew the harmfulness of noncompliance and the state of illness, the better the medication complianee（OR=1.439, 95% CI=1.106-1.872; OR=1.730; 95% CI = 1. 498 - 2. 205, P 〈 0. 01 ）. CONCLUSION： Medical staff should take various measures to increase the awareness of the importance of medication compliance among patients of acute myocardial infarction with reperfusion. Timely drug adjustment aeeording to the economic status of the patients improves medication compliance.

关 键 词：急性病 心肌梗塞 再灌注 服药法 病人依从 健康教育 

分 类 号：R541.4[医药卫生—心血管疾病]