冠状动脉支架置入术后患者院外服药依从性的调查  

Investigation of drug compliance in patients after intracoronary stent implantation out of hospital

作　　者：宋静[1] 曹艳茹[1] 姚景鹏[2] 

机构地区：[1]北京大学第三医院心内科,100191 [2]北京大学医学部护理学院

出　　处：《中华现代护理杂志》2010年第33期3983-3986,共4页Chinese Journal of Modern Nursing

摘　　要：目的 调查冠脉支架术后患者服药依从性状况,分析其影响因素,以便有针对性地进行健康教育.方法 自制问卷,应用药物依从量表、抑郁量表及家庭功能量表,对81例冠脉支架术后患者进行问卷调查,并分析调查结果.结果 冠脉支架术后患者院外服药依从性与抑郁状况（r=-0.292,P＜0.01）及主要医疗诊断（r=-0.253,P＜0.05）呈负相关,支架置入数量与抑郁状况（r=0.368,P＜0.01）及家庭功能（r=-0.259,P＜0.05）呈负相关.结论 护士在临床工作中除加强对患者的健康教育外,还应加强对其家属的健康教育,以共同提高患者院外服药的依从性.Objective To investigate the drug compliance and related factors in patients after intracoronary stent implantation. Methods Investigated 81 patients after intracoronary stent implantation self-designed questionnaire by drug compliance scale, depress scale and family function scale and analyze the results.Results Drug compliance of patients after intracoronary stent implantation was related to depress status （r =-0. 292,P 〈0. 01 ） and main diagnosis（ r = -0. 253, P 〈 0. 05 ）, number of stent was related to depress status （r =0. 368 ,P 〈0. 01 ） and family function（r = -0. 259,P 〈0. 05 ）. Conclusions Except for the patients, nurse should also enhance the health education to their family members for promoting patients＇ drug compliance out of hospital.

关 键 词：冠状动脉支架置入术 抗血小板药物 服药依从性 健康教育 

分 类 号：R473.5[医药卫生—护理学]