护理干预对老年急性冠脉综合征患者治疗依从性的影响  

Effect of nursing intervention on elderly patients with acute coronary syndrome therapy compliance

作　　者：刘萍[1] 宋小林[1] 

机构地区：[1]四川省人民医院草堂病区内三科,四川成都610072

出　　处：《中国临床医生杂志》2013年第2期22-23,共2页Chinese Journal For Clinicians

摘　　要：目的探讨护理干预对老年急性冠脉综合征患者治疗依从性的影响。方法 100例患者随机分为观察组(50例)和对照组(50例),观察组采用系统的健康指导;对照组仅采用常规护理。两组出院后随访1年,比较两组患者的住院天数、急性冠脉事件的再发率和死亡率。结果观察组的住院天数及急性冠脉事件的再发率和死亡率显著低于对照组(P<0.05);出院时以及出院后治疗依从性显著高于对照组(P<0.05)。结论护理干预可促进患者建立健康的生活方式,利于老年急性冠脉综合征病情稳定,阻断和延缓并发症的发生,缩短了患者的住院天数,对降低老年急性冠脉事件的再发率和死亡率有明显作用。Objective Study the effects of nursing intervention on elderly patients with acute coronary syndrome （ACS） patients treatment compliance. Method senile acute coronary syndrome （ACS） patients with 100 cases, ac- cording to sample randomly divided into the observation group （50 cases） and control group （50 cases）. The obser- vation grnup was treated with system health guidance; the control group only received routine care and treatment; the two groups after discharge 1 year of telephone follow-up for 4 times （2 mouths. 6 months. 9 months. 1 year） , were compared between the two groups of patients at discharge from hospital and after 2 months, 6 months, 9 months, l year of treatment compliance, length of hospital stay, acute coronary event recurrence rate and mortality. Result At discharge and was discharged on the 4 postoperative follow-up, two patients on treatment compliance scores the difference was statistically significant （ P〈0.05 ） ; observation group the length of hospitalization and a- cute coronary events in the recurrent rate and mortality was significantly lower than that in the control group, the difference was statistically significant （P〈0.05）. Conclusion Nursing intervention can promote a healthy lifestyle, is beneficial to elderly patients with acute coronary syndrome （ACS） in stable condition, blocking and delaying the occurrence of complications, can obviously shorten the hospitalization days, to reduce senile acute coronary events in the recurrent rate and death rate has obvious effect.

关 键 词：急性冠脉综合征 护理干预 治疗依从性 

分 类 号：R541[医药卫生—心血管疾病]