阿司匹林在社区心脑血管血栓性疾病中的应用现状及影响因素分析

Analysis of current status and influence factors of aspirin in cardiovascular thrombotic diseases in community health service center

目的了解阿司匹林在北京市朝阳区高碑店社区居民心脑血管血栓性疾病中的应用现状及影响因素,为社区医生用药提供指导。方法采用面对面问卷调查的方式,对就诊于我中心及社区站的心脑血管血栓性疾病患者的阿司匹林使用情况进行调查,根据服用阿司匹林情况将高血压患者分为3组:规律服药组、不规律服药组和未服用组,并分析患者不规律服药或不服药的原因。结果接受调查的220例中,仅108例(49.1%)规律服用阿司匹林,112例(50.9%)不规律或未服用阿司匹林。患者未服用或不规律服用阿司匹林的主要原因是:担心出现副作用、医生未指导和有慎用症等。结论阿司匹林在社区心脑血管血栓性疾病中未得到广泛和正确的使用。社区医生应加强对患者的健康教育,提高患者服药依从性,降低心脑血管等血栓性疾病发病率。

Objective To investigate the current status and influence factors of aspirin in cardiovascular thrombotic diseases in Beijing Community Health Service Center. Methods To investigate the patients who come to the community health service center suffering from cardiovascular thrombotic diseases with face to face questionnaire survey. According to the usage of aspirin, patients were divided into three groups： regular medication group, irregular medication group, and not taking medicine group, and analyze the influence factors of irregular or without medication of patients. Results Among the 220 patients studied, only 108 （49.1%） patients took aspirin regularly, and 112 patients （50.9%） took aspirin irregularly or not taking. The main causes of taking aspirin irregularly or not taking are fearing of adverse reactions of aspirin, no guidance from the doctors and having eontraindications of aspirin. Conclusions Aspirin have not been widely and correctly used in cardiovascular thrombotic diseases in the community health service center. Doctors of community health service should strengthen health education to patients to improve medication compliance and reduce incidence of cardiovascular thrombotic diseases.