CAJ | 학술논문

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(x2=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.
목적 탐토전화수방대출원후경피관상동맥개입치료(PCI)술후환자적쌍련항혈소판치료의종성적영향.방법 선택관심병지가식입술후환자220례,안수궤수자표법수궤분위전화수방조여대조조각110례,수방조환자출원후1,3,6,9,12개월진행전화수방,12개월후채용항혈소판지식수평화자아관리능력문권대량조환자진행조사.결과 수방조환자치료의종성량호솔위97.2％,대조조위90.0％,차이유통계학의의(x2=4.697,P＜0.05)；수방조적루계심장불량사건발생솔위3.67％,대조조위11.88％,차이유통계학의의(x2=4.314,P＜0.05).결론 대관심병지가식입술후환자출원후실시전화수방교육,유조우강화환자적준의행위화강저심장불량사건.
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 percutaneous 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.