电话随访提高老年冠心病患者PCI术后药物治疗依从性的效果观察

Telephone follow-ups increased medication compliance of elderly patients with coronary heart disease after percutaneous coronary interention

目的探讨电话随访对老年冠心病患者经皮冠状动脉支架植入术(percutaneous coronary intervention,PCI)术后药物治疗依从性效果。方法将160例老年冠心病行PCI术后患者随机分为对照组(79例)和实验组(81例)。对照组患者出院后常规药物治疗,6个月电话随访1次;实验组患者在对照组基础上,出院后12个月内,根据患者服药依从性不佳原因,实施电话随访,共8次(如在随访过程中发现服药依从性欠佳则随时予增加随访次数)。比较出院后12个月两组患者药物治疗依从性及心血管不良事件发生率、冠状动脉再狭窄率、再住院率情况。结果实验组患者药物治疗依从性明显优于对照组,不良心血管事件发生率、冠状动脉再狭窄率、再住院率明显低于对照组,两组比较,均P<0.05,差异具有统计学意义。结论电话随访能提高老年冠心病PCI术后患者药物治疗依从性,从而提高治疗效果。

Objective To investigate the effect of telephone follow-ups on medication compliance of elderly patients with coronary heart disease after percutaneous coronary intervention（PCI）.Methods One hundred and sixty elderly patients with coronary heart disease undergoing PCI were randomly divided into control group（n=79）and experimental group（n=81）.Conventional treatment with medication and telephone follow-ups per six months were administered to patients in control group after discharging from the hospital.Besides the same treatment as in the control group,8 telephone follow-ups were made within 12 months from discharging and additional follow-ups were performed if their medication compliance was poor.The two groups were compared in terms of medication compliance 12 months since discharging,and cardiovascular adverse events,readmission rates and restenosis rates within 1 year. Results The medication compliance in the experimental group was significantly better than that in the control group.The rates of cardiovascular adverse events,readmission and restenosis within 1 year were all significantly lower than those of control group（all P〈0.05）.Conclusion Telephone follow-ups can improve medication compliance of elderly patients with coronary heart diseases after PCI and thereby enhance the curative effects.