现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2014年
3期
15-18
,共4页
冷梅芳%栗静%许秀萍%洪如娟
冷梅芳%慄靜%許秀萍%洪如娟
랭매방%률정%허수평%홍여연
电话随访%老年患者%经皮冠状动脉支架植入术%治疗依从性
電話隨訪%老年患者%經皮冠狀動脈支架植入術%治療依從性
전화수방%노년환자%경피관상동맥지가식입술%치료의종성
telephone follow-up%elderly patients%percutaneous coronary intervention%medication compliance
目的：探讨电话随访对老年冠心病患者经皮冠状动脉支架植入术（percutaneous coronary intervention，PCI）术后药物治疗依从性效果。方法将160例老年冠心病行PCI术后患者随机分为对照组（79例）和实验组（81例）。对照组患者出院后常规药物治疗，6个月电话随访1次；实验组患者在对照组基础上，出院后12个月内，根据患者服药依从性不佳原因，实施电话随访，共8次（如在随访过程中发现服药依从性欠佳则随时予增加随访次数）。比较出院后12个月两组患者药物治疗依从性及心血管不良事件发生率、冠状动脉再狭窄率、再住院率情况。结果实验组患者药物治疗依从性明显优于对照组，不良心血管事件发生率、冠状动脉再狭窄率、再住院率明显低于对照组，两组比较，均P＜0.05，差异具有统计学意义。结论电话随访能提高老年冠心病PCI术后患者药物治疗依从性，从而提高治疗效果。
目的：探討電話隨訪對老年冠心病患者經皮冠狀動脈支架植入術（percutaneous coronary intervention，PCI）術後藥物治療依從性效果。方法將160例老年冠心病行PCI術後患者隨機分為對照組（79例）和實驗組（81例）。對照組患者齣院後常規藥物治療，6箇月電話隨訪1次；實驗組患者在對照組基礎上，齣院後12箇月內，根據患者服藥依從性不佳原因，實施電話隨訪，共8次（如在隨訪過程中髮現服藥依從性欠佳則隨時予增加隨訪次數）。比較齣院後12箇月兩組患者藥物治療依從性及心血管不良事件髮生率、冠狀動脈再狹窄率、再住院率情況。結果實驗組患者藥物治療依從性明顯優于對照組，不良心血管事件髮生率、冠狀動脈再狹窄率、再住院率明顯低于對照組，兩組比較，均P＜0.05，差異具有統計學意義。結論電話隨訪能提高老年冠心病PCI術後患者藥物治療依從性，從而提高治療效果。
목적：탐토전화수방대노년관심병환자경피관상동맥지가식입술（percutaneous coronary intervention，PCI）술후약물치료의종성효과。방법장160례노년관심병행PCI술후환자수궤분위대조조（79례）화실험조（81례）。대조조환자출원후상규약물치료，6개월전화수방1차；실험조환자재대조조기출상，출원후12개월내，근거환자복약의종성불가원인，실시전화수방，공8차（여재수방과정중발현복약의종성흠가칙수시여증가수방차수）。비교출원후12개월량조환자약물치료의종성급심혈관불량사건발생솔、관상동맥재협착솔、재주원솔정황。결과실험조환자약물치료의종성명현우우대조조，불양심혈관사건발생솔、관상동맥재협착솔、재주원솔명현저우대조조，량조비교，균P＜0.05，차이구유통계학의의。결론전화수방능제고노년관심병PCI술후환자약물치료의종성，종이제고치료효과。
Objective To investigate the effect of telephone follow-ups on medication compliance of elderly patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods One hundred and sixty elderly patients with coronary heart disease undergoing PCI were randomly divided into control group(n=79)and experimental group(n=81).Conventional treatment with medication and telephone follow-ups per six months were administered to patients in control group after discharging from the hospital.Besides the same treatment as in the control group,8 telephone follow-ups were made within 12 months from discharging and additional follow-ups were performed if their medication compliance was poor.The two groups were compared in terms of medication compliance 12 months since discharging,and cardiovascular adverse events,readmission rates and restenosis rates within 1 year. Results The medication compliance in the experimental group was significantly better than that in the control group.The rates of cardiovascular adverse events,readmission and restenosis within 1 year were all significantly lower than those of control group(all P<0.05).Conclusion Telephone follow-ups can improve medication compliance of elderly patients with coronary heart diseases after PCI and thereby enhance the curative effects.
