冠心病患者经皮冠状动脉介入治疗后的遵医行为及对策  

Compliance behavior of patients with coronary heart disease after percutaneous coronary intervention and countermeasures

作　　者：许红[1] 叶向红[1] 郑新玲[1] 朱晓军[1] 吕春苗[1] 

机构地区：[1]金华市中心医院,浙江金华321000

出　　处：《护理与康复》2010年第10期838-839,共2页Journal of Nursing and Rehabilitation

基　　金：金华市科技局资助课题;项目编号:2005-1-333

摘　　要：目的了解冠心病患者经皮冠状动脉介入治疗后的遵医行为,提出对策。方法自行设计调查问卷,对361例冠心病患者经皮冠状动脉介入治疗后的服药情况、饮食治疗、运动治疗、戒烟酒、定期复查等情况作调查。结果97.2%患者能坚持服用阿司匹林,但服用ACEI和他汀类药的依从性较差,53.7%患者坚持合理饮食,39.1%患者坚持适量运动,90.9%患者戒烟酒,48.7%患者坚持复查,42.4%患者能定期检测血压、血脂、血糖。结论冠心病患者经皮冠状动脉介入治疗后遵医行为较差,必须建立长期有效的干预机制,提高患者的遵医行为。Objective To study the compliance behavior of patients with coronary heart disease after percutaneous coronary intervention（PCI） and find out nursing countermeasures.Method Investigate 361 patients with coronary heart disease after PCI on administration,diet therapy,exercise therapy,smoking and alcohol cessation and regular reexamination by self-designed questionnaire.Result 97.2% of the patients can insist on taking asprin,while they have poor compliance on taking ACEI and statins.53.7% of the patients can keep reasonable diet.39.1% can keep fitting exercise.90.9% quit smoking and alcohol.48.7% insist on regular reexamination.42.4% test blood pressure,blood lipid and blood glucose regularly.Conclusion Patients with coronary heart disease after PCI have poor compliance.Long-term and effective intervention mechanism should be established to improve patients＇ compliance.

关 键 词：冠心病 经皮冠状动脉介入治疗 遵医行为 对策 

分 类 号：R473.5[医药卫生—护理学]