电话随访对经皮冠状动脉介入术后患者双联抗血小板治疗依从性的影响  

Influence of telephone follow.up on Dual AntiPlatelet Therapy compliance of the senile patients receiving pereutaneous coronary intervention

作　　者：严腊梅[1] 陈建宁[1] 孙炜[1] 

机构地区：[1]南京医科大学第二附属医院心血管科,210011

出　　处：《中华现代护理杂志》2013年第11期1292-1294,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨电话随访对出院后经皮冠状动脉介入治疗（PCI）术后患者的双联抗血小板治疗依从性的影响。方法选择冠心病支架植入术后患者220例，按随机数字表法随机分为电话随访组与对照组各110例，随访组患者出院后1，3，6，9，12个月进行电话随访，12个月后采用抗血小板知识水平和自我管理能力问卷对两组患者进行调查。结果随访组患者治疗依从性良好率为97．2％，对照组为90．0％，差异有统计学意义（#=4．697，P〈0．05）；随访组的累计心脏不良事件发生率为3．67％，对照组为11．88％，差异有统计学意义（X2=4．314，P〈0．05）。结论对冠心病支架植入术后患者出院后实施电话随访教育，有助于强化患者的遵医行为和降低心脏不良事件。Objective To investigate the influence of telephone follow-up on the Dual AntiPlatelet Therapy （DAT） compliance of the senile patients receiving percutaneous coronary intervention. Methods Totals of 220 senile patients receiving pereutaneous coronary intervention were randomly divided into research group and control group. Telephone follow-up was conducted in research group. After 12 months, a questionnaire was conducted in both groups. Results The DAT compliance of research group was significantly higher than that of control group （97.2% vs 90.0% ;X2 =4. 697 ;P 〈0.05）. The accumulated incidence of major adverse cardiac events in research group was significantly lower than that of control group （3.67 % vs 11.88 % ;X2 = 4.314;P 〈 0.05 ）. Conclusions The education conducted in patients receiving percutaneous coronary intervention through telephone follow up could help to improve the treatment compliance and reduce the incidence of major adverse cardiac events.

关 键 词：经皮冠状动脉介入术 电话随访 双联抗血小板治疗 依从性 

分 类 号：R541.4[医药卫生—心血管疾病]