冠状动脉支架术后医生电话随访对患者依从性的影响  

Effect of doctor-led telephone follow-up on compliances in patients after intracoronary stenting

作　　者：孙炎华[1] 张高星[1] 林如明[1] 赖兆新[1] 谭文锋[1] 彭宇程[1] 任强[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

出　　处：《岭南心血管病杂志》2013年第4期421-423,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的探讨医生电话随访对冠状动脉粥样硬化性心脏病(冠心病)患者戒烟依从性、服药依从性及冠状动脉支架术后复查造影的依从性的影响。方法将160例冠状动脉支架术后患者按随机数字表法随机分为随访组(80例)和对照组(80例)两组。出院时都叮嘱入选患者术后必须戒烟、长期服药和1年内返院复查冠状动脉造影。出院后只对随访组进行电话随访,出院1年后评定两组患者的依从性。结果随访组患者的戒烟依从性[90.32%(56/62)vs.75.00%(45/60),χ2=5.02,P<0.05]、服药依从性[91.25%(73/80)vs.77.50%(62/80),χ2=5.74,P<0.05]及冠状动脉支架术后复查造影依从性[90.00%(72/80)vs.76.25%(61/80),χ2=5.39,P<0.05]均较对照组高,差异有统计学意义(P<0.05)。结论医生电话随访对提高冠心病患者戒烟依从性、服药依从性及冠状动脉支架术后复查造影的依从性具有一定的临床意义。Objectives To observe the effect of doctor-led telephone follow-up on compliances of cigarette quitting, medication and angiography review in patients after intracoronary stenting. Methods A total of 160 patients after intracoronary stenting were randomly divided into follow-up group （80 patients） and control group （80 patients）. Patients in the two groups were instructed to stop smoking, take pills for a long-term and return to review coronary angiography in one year. We only conducted telephone follow-up in follow-up group after they left hospital. Compliances were compared between the two groups after 1 year. Results Rates of compliances of cigarette quitting [90.32% （56/62） vs. 75.00% （45/60）, X2=5.02,P〈0.051, medication [91.25% （73/80） vs. 77.50% （62/80）, x2=5.74,P〈0.05] and angiography review [90.00% （72/80） vs. 76.25% （61/80）, AA=5.39, P〈0.05] were significantly higher in follow-up group than those in control group （P〈0.05）. Conclusions Doctor-led telephone follow-up can increase patients＇ compliances of cigarette quitting, medication and angiography review.

关 键 词：冠状动脉疾病 电话随访 冠状动脉支架术 冠状动脉造影术 戒烟 依从性 

分 类 号：R541.4[医药卫生—心血管疾病]