电话随访对肝硬化合并上消化道出血患者遵医行为及再出血的影响

Effect of telephone follow-up on the compliance behavior and rebleeding of patients with cirrhosis complicated with upper gastrointestinal bleeding

目的探讨电话随访对肝硬化合并上消化道出血患者遵医行为及再出血的影响。方法选择66例肝硬化合并上消化道出血的出院患者，随机分为对照组及随访组各33例，两组患者均给予常规出院健康宣教，随访组在常规宣教的基础上电话随访1年，出院1年时通过问卷调查评价两组患者的遵医行为和上消化道再出血率。结果随访组患者的遵医行为明显高于对照组（P〈0．01），而上消化道再出血率明显低于对照组（P〈0．01）。结论对肝硬化合并上消化道出血的出院患者实施电话随访，能明显提高患者的遵医行为，降低上消化道再出血率。

Objective To investigate the effect of telephone follow-up on the compliance behavior and rebleeding of patients with cirrhosis complicated with upper gastrointestinal bleeding. Methods 66 patients with cirrhosis complicated with upper gastrointestinal bleeding were selected and randomly divided into control group and follow-up group with 33 cases in each group. Patients of two groups were given routine hospital discharge health education, patients of follow-up group were given telephone follow-up for 1 year on the basis of routine education. Evaluated compliance behavior and the rate of upper digestive tract rebleeding with questionnaire survey 1 year after discharge from hospital. Results The compliance behavior of follow-up group was significantly higher than that of control group （P〈0.01）, but the rate of upper digestive tract rebleeding was significantly lower than that of control group （P〈0.01）. Conclusion Telephone follow-up can significantly improve the compliance behavior of patients with cirrhosis complicated with upper gastrointestinal bleeding, and reduce the rate of upper digestive tract rehleeding.