电话随访对急性脑梗死患者出院后服药依从性的影响  

Effect of telephone follow-up on medication compliance after discharge in acute cerebral infarction patients

作　　者：张珀璇[1] 张丽华[1] 王丽华[1] 陈冬梅[1] 钱茜[1] 冯新云[1] 

机构地区：[1]江苏省南通大学第二附属医院神经内科,226001

出　　处：《护理实践与研究》2013年第8期133-134,共2页Nursing Practice and Research

摘　　要：目的:本研究旨在评价对首次发病的急性脑梗死患者出院后实施电话随访干预对改善服药依从性的效果。方法:将连续收住院的264例初发急性脑梗死患者随机分为两组,对照组131例在出院时给予常规健康指导,而研究组133例除常规健康指导外,出院后还进行每月2～3次电话随访。出院3个月时调查两组患者抗血小板药物、抗高血压药物、调脂药物和糖尿病药物的服用率。结果:完成电话随访且资料完整者共212例,其中对照组104例,研究组108例。研究组患者在抗血小板药物、他汀类药物和胰岛素类药物的服用率高于对照组(P<0.05),两组患者抗高血压药物服用率无统计学差异(P>0.05)。结论:电话随访可以在急性脑梗死患者二级预防中发挥一定的作用,通过健康教育和电话随访,可以改善患者对药物的依从性。Objective ：The aim of this study is to determine whether telephone follow - up nursing interventions after hospital discharge and after affect medi- cation compliance at three months in patients admitted for a first - ever occurrence of acute cerebral infarction. Methods： A total of 264 consecutive in - hos- pital patients with first -ever acute cerebral infarction were randomly divided into two groups. The patients in the control group （n = 131 ） received routine care at discharge. In addition, the patients in the experimental group （n = 133 ） received comprehensive health education at discharge and telephone inter- view two to three times a month after discharge. The information of medicine therapy of patients at discharge was collected. The rate of medication adherence with antiplatelet drugs and with prevention of risk factors, including hypertension, hyperlipidemia and diabetes, was evaluated through structured telephone interviews at 3 months follow - up. Results ： Telephone follow - up and completed data of 212 eases ,including 104 cases in the control group, 108 cases of the experimental gronp. The rates of compliance with antiplatalet drugs,statins drugs and insulin in experimental group were higher than the control group （ P 〈 0.05 ）. There were no differences in adherence rates of antihypertensive drugs between two groups （P 〉 0. 05 ）. Conclusion ：Telephone follow - up may play a role in secondary prevention of isehemic stroke,through health education and telephone followup, could improve medication compliance.

关 键 词：急性脑梗死 二级预防 护理干预 电话随访 服药依从性 

分 类 号：R473.74[医药卫生—护理学]