稳定性心绞痛患者服药依从性现状分析  

The current status of medical compliance of stable angina patients

作　　者：翟莉[1] 吕豪[1] 张英[1] 王京[1] 萧洒 李怡[1] 杨艳敏[2] 

机构地区：[1]武警北京总队第二医院心内科,100037 [2]阜外心血管病医院急症科,100037

出　　处：《中国分子心脏病学杂志》2009年第4期237-239,共3页Molecular Cardiology of China

摘　　要：目的探讨稳定性心绞痛患者出院后服药依从性情况。方法选择150例冠心病稳定性心绞痛患者,住院期间均给予阿司匹林、他汀类药物、β-受体阻滞剂及ACEI类药物治疗,出院半年后进行随访,对患者是否坚持服药及其影响因素进行分析。结果坚持服药与不坚持服药的患者在不同文化程度、经济状况、职业及年龄中的分布有显著差异(P<0.01)。并且文化程度越低、经济状况越差、年龄越大、无业的患者更不容易坚持服药。在未坚持服药的患者中,由于健康指导不到位的占64.8%。结论应加强对冠心病稳定性心绞痛患者的健康指导,尤其是对于那些年龄较大、文化程度低、经济状况不好以及无业的人员,能够提高患者服药的顺应性,从而减少患者心血管事件的发生。Object To investigate the compliance the of stable angina patients discharged from hospital. Methods 150 Patients with stable angina were administrated with aspirin, statin, beta-block and ACEI. They were followed up after half a year and surveyed about their compliance of the medical treatment and other influential factors. Results There is a significant difference （ P 〈 0.01 ） between those factors about civilization level, economic status, occupation and age. Less educated, worse economic status, elder and jobless people are prone to giving up long-term medication. Among the patients who couldn＇ t adhere to long-term medication, there are 64. 8% of them due to incorrect healthy education. Conclusions We should pay more attention to healthy education on stable angina patients especially those with lower educational level, worse economic status and elder and unemployed people so we could increase the patient compliance and reduce the incidence of cardiovascular diseases.

关 键 词：冠心病 药物治疗 依从性 

分 类 号：R541.4[医药卫生—心血管疾病]