不同文化程度老年冠心病患者的预后

Effect of different education levels on prognosis of coronary heart diseases in the elderly

目的 探讨不同的文化程度与老年冠心病患者预后的相互关系。方法 收集遵义市第一人民医院2005年1月至2010年1月期间经冠状动脉造影确诊的急性冠状动脉综合征（ACS）患者165例，在初次入院时填写冠心病自我问卷调查表，了解其文化程度以及对冠心病危险因素的了解程度。按照文化程度分为小学及以下文化程度组（A组）和初中及以上文化程度组（B组）。在此后的随访中观察患者随访依从性和治疗依从性，评估心功能和心脏形态学的变化。结果 A组患者随访依从性和治疗依从性较B组患者差（P＜0.05），随着随访时间的延长，A组患者发生心脏形态学及心功能恶化的程度均大于B组，且差异有统计学意义（P＜0.05）。结论 不同文化程度老年冠心病患者的预后具有显著差异，文化程度越高，接受随访和治疗的依从性更好、预后更佳。

Objective To determine the effect of different education levels on the prognosis of coronary heart diseases in the elderly. Methods Totally 165 elderly patients with coronary angiography-identified acute coronary syndrome （ACS） in our department from January 2005 to January 2010 were enrolled in the study. A self-questionnaire about coronary heart disease was used on the initial admission to obtain the education level, as well as their understanding of coronary heart disease. Patients were divided into two groups according to their education level, the primary school and lower education level group （group A） and the junior high school or higher education level group （group B）. The follow-up compliance, treatment compliance, cardiac function, and heart morphological changes were evaluated during the follow-up visit. Results Group A had a poorer follow-up compliance and treatment compliance than group B （P〈0.05）. With the elapse of follow-up, group A also had worse deterioration of cardiac function and heart morphological changes, with significant differences between the two groups （P〈0.05）. Conclusion There are significant differences in the prognosis among the elderly coronary heart disease patients with different education levels. The higher the education levels, the better their follow-up compliance and treatment compliance are.