医生电话随访对冠脉支架术后患者服药依从性的影响  

Effects of doctor's telephone follow-up on compliance with doctor's advice in patients atter intracoronary stenting

作　　者：孙炎华[1] 靳妮娜[2] 张高星[1] 林如明[1] 赖兆新[1] 谭文峰[1] 彭宇程[1] 任强[1] 高伟栋[1] 赖浚兴[1] 宋岸坚[1] 

机构地区：[1]中山大学附属江门医院心血管内科,广东江门529030 [2]中山大学附属江门医院呼吸内科,广东江门529030

出　　处：《中国医药科学》2012年第16期127-128,共2页China Medicine And Pharmacy

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。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 followup 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 followup 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（P0.05）.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.

关 键 词：电话随访 冠脉支架植入术 依从性 

分 类 号：R541.4[医药卫生—心血管疾病]