CAJ | 학술논문

目的：探讨微信平台信息支持方式对颈动脉支架置入术后出院患者服药依从性的影响。方法便利抽样选择2012年6月至2013年5月在第三军医大学大坪医院行颈动脉支架置入术后患者138例，按出院先后顺序分为观察组69例和对照组69例，对照组患者出院后按常规随访，观察组患者出院时指导其加入支架微信管理平台，短信平台定期向其或其家属发送微信支持信息，提醒按时服药、疾病相关知识和随访时间等内容，并通过互动交流助其解决实际问题。比较两组患者出院后1、3、6个月和1年后的服药依从性优良率。结果出院1个月时两组患者服药依从性优良率差异无统计学意义(P＞0.05)；3、6个月和1年时观察组患者服药依从性优良率均高于对照组，差异有统计学意义(均P＜0．01)。结论对颈动脉支架置入术后出院患者采用微信平台支持的方式，能及时提醒患者按时服药、注意休息、适当运动、疾病相关知识和定期随访时间等事宜，对提高患者院外遵医服药依从性有积极的推动作用。
목적：탐토미신평태신식지지방식대경동맥지가치입술후출원환자복약의종성적영향。방법편리추양선택2012년6월지2013년5월재제삼군의대학대평의원행경동맥지가치입술후환자138례，안출원선후순서분위관찰조69례화대조조69례，대조조환자출원후안상규수방，관찰조환자출원시지도기가입지가미신관리평태，단신평태정기향기혹기가속발송미신지지신식，제성안시복약、질병상관지식화수방시간등내용，병통과호동교류조기해결실제문제。비교량조환자출원후1、3、6개월화1년후적복약의종성우량솔。결과출원1개월시량조환자복약의종성우량솔차이무통계학의의(P＞0.05)；3、6개월화1년시관찰조환자복약의종성우량솔균고우대조조，차이유통계학의의(균P＜0．01)。결론대경동맥지가치입술후출원환자채용미신평태지지적방식，능급시제성환자안시복약、주의휴식、괄당운동、질병상관지식화정기수방시간등사의，대제고환자원외준의복약의종성유적겁적추동작용。
Objective To discuss the effect of Wechat platform information support on medication compliance of patients underwent carotid artery stenting.Methods By convenience sampling,138 cases of patients were selected and equally divided into observation group and control group.The control group patients received routine follow-up after discharge.The observation group was guided to add into the Wechat information management platform when discharged with the platform regularly send support infor-mation to the patient or family,to remind to take medicine on time,disease related knowledge,and follow-up time etc,and also through interactive solving practical problems.The medication adherence of patients in 1st,3rd and 6th months and 1 year were compared.Results There was no statistical significance of the medication compliance of two groups of patients in first months of discharge (P>0.05).The medication compliances in 3rd and 6th months and 1 year in observation group were better than those in control group (all P <0.01 ).Conclusion The application of Wechat platform information support to medication compliance of patients underwent carotid artery stenting can timely remind patients to take medicine,pay attention to rest,proper exercise,disease related knowledge and regular follow-up etc,which has positive effect on promoting the medication compliance of patients outside the hospital.