心房颤动社区管理依从性分析  

Analysis of Patients' Compliance under Community Management Plan for Atrial Fibrillation

作　　者：曹文斋[1,2] 张婷[3] 钟德超[1] 石兆云 余江恒[1] 

机构地区：[1]四川省自贡市第一人民医院,四川自贡643000 [2]成都中医药大学临床医学院 [3]泸州医学院护理学院

出　　处：《中国医学创新》2015年第13期106-108,共3页Medical Innovation of China

基　　金：四川省卫生厅科研课题(120004);四川省医学会‘施慧达’科研课题(SHD11-02)

摘　　要：目的:探讨社区管理下心房颤动患者的依从性,为心房颤动社区管理规范化方案的制定提供依据。方法:随机选择2个地理上相隔的较远的社区,纳入心房颤动患者220例,分为试验组(109例)与对照组(111例),试验组采取预先制定的心房颤动社区管理方案进行管理,对照组采取常规诊疗方案。随访期限至少12个月,比较两组患者依从性。结果:经过12个月的随访,试验组与对照组比较,药物治疗依从性及生活方式改善依从性差异均有统计学意义(P<0.05)。结论:实施心房颤动社区管理方案,能够提高心房颤动患者依从性。Objective：To investigate the compliance of atrial fibrillation patients under community management plan,provide the basis for the development of atrial fibrillation community standardized management scheme. Method：Two communities with far geographically distance of 220 AF patients were randomly selected and divided into the experimental group of 109 cases and control group of 110 cases.A standardized management plan was implemented in experimental group.Conventional treatment was conducted in control group. Duration of follow-up was at least 12 months. Patients’ compliance were analyzed between two groups.Result：After 12 months follow-up,the compliance of medical treatment and life style change was better in experimental group than that in control group,the differences were statistically significant（P〈0.05）.Conclusion：The community management plan for patients with atrial fibrillation is superior to usual care in terms of patients’ compliance.

关 键 词：心房颤动 社区管理方案 依从性 

分 类 号：R541.75[医药卫生—心血管疾病]