急性冠脉综合征PCI术后患者健康管理对服药依从性影响的研究

Effect of health management on medication compliance in patients with acute coronary syndrome undergoing percutaneous coronary intervention

目的提高急性冠脉综合征PCI术后患者的服药依从性。方法选取214例2010年1月至2012年1月急性冠脉综合征接受PCI治疗的患者作为研究对象,随机分为干预组(112例)和对照组(102例),对干预组通过健康档案管理、个体指导、健康教育等方法进行健康管理。采用我院设计的服药状况问卷进行调查。结果两组患者的服药依从性差异具有统计学意义(P<0.05)。结论对急性冠脉综合征PCI术后患者进行积极的健康管理,可以有效提高患者的服药依从性,进而降低PCI术后支架内血栓事件的发生率。

Objective To improve the medication compliance in patients with acute coronary syndrome undergoing percutaneous coronary intervention. Methods 214 patients with acute coronary syndrome after i ntracoronary stenting randomly divided into the follow-up group （112 patients ）and control group （102 patients ）. Patients in the two groups were instructed orally to take five kinds of drugs （ aspirin, clopidogrel, beta-blockers, statins, ACEI/angiotensin receptor blockers ）. The follow-up group received health management through management of health records, individual guidance, health education and other methods after they left hospital. Compliance was compared between two groups one year later. Results The rate of compliance completely and overall compliance were higher in the follow-up group than that in control group （ P 〈 0.05 ）. The rate of no compliance was lower in the follow-up group than that in control group （ P 〈 0. 05 ）. Conclusions The health management is effeetive to improve the medieation compliance in ACS patients after intraeoronary stent.