CAJ | 학술논문

目的：观察急性心肌梗死支架术后患者院外服药依从性的变化趋势及不同时期依从性的影响因素分析。方法：采用方便抽样的方法，对首次发作急性心肌梗死并行支架植入术的患者126例进行术后1年的服药依从性跟踪调查。共对患者进行4次电话回访，即术后3、6、9、12个月。调查工具包括：患者的一般资料、服药依从性问卷、社会支持评定量表、Charlson合并症指数评分表等。结果：急性心肌梗死支架术后患者的院外服药依从性水平较低，且随着时间的推移呈明显下降趋势。不同时期影响患者依从性的因素中正向影响因素有社会支持、年龄、教育程度；负向影响因素有Charlson合并症指数、住址等。结论：急性心肌梗死支架术后患者的服药依从性情况不容乐观，应根据不同时期依从性的影响因素进行有针对性的干预，从而提高支架术后患者的服药依从性。
목적：관찰급성심기경사지가술후환자원외복약의종성적변화추세급불동시기의종성적영향인소분석。방법：채용방편추양적방법，대수차발작급성심기경사병행지가식입술적환자126례진행술후1년적복약의종성근종조사。공대환자진행4차전화회방，즉술후3、6、9、12개월。조사공구포괄：환자적일반자료、복약의종성문권、사회지지평정량표、Charlson합병증지수평분표등。결과：급성심기경사지가술후환자적원외복약의종성수평교저，차수착시간적추이정명현하강추세。불동시기영향환자의종성적인소중정향영향인소유사회지지、년령、교육정도；부향영향인소유Charlson합병증지수、주지등。결론：급성심기경사지가술후환자적복약의종성정황불용악관，응근거불동시기의종성적영향인소진행유침대성적간예，종이제고지가술후환자적복약의종성。
Objective:To observe the change trend and status of medication adherence among patients with Acute Myocardial Infarction (AMI) after coronary stent implantation, and analyze the inlfuencing factors in different periods. Methods:Totally 126 AMI patients with coronary stent implantation were conveniently sampled in this study. There were 4 times' telephone visit at 3, 6, 9 and 12 months after coronary stent implantation. The investigation tools included the medication adherence questionnaire, the Social Supports Rating Scale (SSRS), and the Charlson comorbidity index. Results:The medication adherence level of the AMI patients with coronary stent implantation was relatively low, and it was obviously decreased over time. The positive factors of medication adherence were social support, age, and the education level;while the negative factors included the Charlson comorbidity index and non-local residence. Conclusion:The medication adherence status was not optimistic among AMI patients with coronary stent implantation. Interventions should be implemented according to the influencing factors in different periods to improve medical adherence of AMI patients with coronary stent implantation.