延续护理对老年冠心病PCI术后氯吡格雷用药依从性的影响  

Effects of extended nursing on compliance of clopidogrel in elderly coronary disease with percutaneouscoronary intervention

作　　者：阙静[1] 杨巧芳[1] Que Jing;Yang Qiaofang(Cardiovascular Hospital, He＇nan Provincial People＇s Hospital, Zhengzhou 450003, Chin)

机构地区：[1]河南省人民医院心血管病医院,郑州450003

出　　处：《中华现代护理杂志》2018年第15期1793-1796,共4页Chinese Journal of Modern Nursing

基　　金：郑州市金水区2014年度第二批科技计划项目（37）

摘　　要：目的 探讨老年冠心病患者PCI术后延续护理对氯吡格雷用药依从性的影响.方法 采用方便抽样的方法,选取河南省人民医院心血管病医院2015年8月-2016年8月符合纳入标准的老年冠心病PCI术后患者100例,随机编号分为对照组与观察组,各50例.两组老年冠心病PCI术后患者均给予氯吡格雷用药,其中观察组患者给予规范的延续护理,而对照组患者则给予常规干预,观察并比较两组患者的用药依从性.结果 于出院后3、6、12个月进行评测,观察组患者经延续护理后的定期康复、定时服药、适当运动和饮食调整得分高于对照组,差异均有统计学意义（t值分别为8.522、5.020、5.088、4.456;P〈0.01）;且按时正确服药患者比例均高于对照组（χ2值分别为5.983、8.306、7.865;P〈0.05）,说明观察组的用药依从性优于对照组.结论 对服用氯吡格雷的老年冠心病PCI术后患者给予延续护理,能够有效提高其氯格雷用药依从性,值得临床推广.Objective To explore the effects of extended nursing on compliance of clopidogrel in elderly coronary disease with percutaneous coronary intervention （PCI）. Methods From August 2015 to August 2016, we selected a total of 100 elderly patients with coronary disease met the inclusion criteria at Cardiovascular Hospital, He＇nan Provincial People＇s Hospital by convenience sampling. All of the patients were divided into control group and observation group by the random number, 50 cases in each group. Elderly coronary disease patients with PCI of two groups were all treated with clopidogrel. Patients of observation group accepted standardized extended nursing, while patients of control group were treated with conventional intervention. We observed and compared the medicine compliance of patients between observation group and control group. Results Three, six and twelve months post discharge, the scores of regular rehabilitation, taking medicine at a regular time, proper exercise and diet change of patients in observation group after extended nursing were all higher than those in control group with significant differences （t=8.522, 5.020, 5.088, 4.456;P〈 0.01）; the proportions of taking medicine on time correctly of patients in observation group were higher than those in control group with significant differences （χ2=5.983, 8.306, 7.865; P〈0.05）; that showed the medicine compliance of observation group was better than that of control group. Conclusions The application of extended nursing in elderly coronary disease patients with clopidogrel after PCI could effectively improve the compliance of clopidogrel. It is worth to be spread in clinic.

关 键 词：老年人 冠心病 氯吡格雷 延续护理 经皮冠状动脉介入治疗 用药依从性 

分 类 号：R473.5[医药卫生—护理学]