缺血性卒中二级预防服用拜阿司匹林的依从性随访研究

Bayaspirin Compliance in Secondary Prevention of Ischemic Stroke:A Follow-up Study

目的分析缺血性卒中患者出院后1年内使用拜阿司匹林的依从性及其影响因素,探讨解决办法。方法对我科连续出院的157例缺血性卒中患者进行随访,按其是否停药分为依从性好组和依从性差组,对其停用拜阿司匹林的原因及影响因素进行统计分析。结果157例患者中依从性差组39例(24.8%),依从性好组118例(75.2%),两组在文化水平、发病次数方面差异有统计学意义(P<0.05),在停药时间上66.67%的患者在1～2个月内停药,56.41%的患者是因为症状好转停药。结论患者中断服药的根本原因是因为对疾病的认识不够,开展广泛的科普教育是提高服药依从性的关键,对首次发病的患者在1～2月之间随访,进行跟踪指导可能是提高服药依从性的有效措施。

Objective To analyze the bayaspirin compliance in isehemic stroke （IS） patients within 1 year after dis- charge and its influencing factors, to find out its solution. Methods One hundred fifty - seven IS patients discharged from our department and followed up were divided into groups A （ with good compliance） and B （ with bad compliance ）. The reasons and influencing factors of bayaspirin withdrawal were analyzed. Results There was significant difference in educational level and frequency of onset between groups A （ n = 118, 75.2% ） and B （ n = 39, 24. 8% ）. In withdrawal time, 66. 67% patients stopped taking drugs within 1 - 2months, 56.41% did it because of improved symptoms. Conehmion The underlying reason for patients＇ drug withdrawal is lack of awareness of the disease. A wide range of science education is the key to improving patients＇ medication compliance. For patients with first attack, follow - up between 1 - 2 months may be an effective measure to improve medication compliance.