系统化家庭随访干预对下肢动脉硬化闭塞症患者出院后治疗依从性的影响

Influence of systematic family following up intervention on treatment compliance of arteriosclerosis obliterans patients of lower extremities after discharge

目的探讨系统化家庭随访干预对下肢动脉硬化闭塞症患者出院后治疗依从性的影响。方法将164例下肢动脉硬化闭塞症患者随机分为对照组和观察组,每组82例;对照组给予常规出院健康教育和随访调查,观察组则给予系统化家庭随访干预措施;比较两组患者干预后的治疗依从性、并发症发生率、按期复查率及再住院率等指标。结果干预6个月后,观察组的服药依从性、自我监护、生活习惯改变及心理调节等水平均高于对照组(P<0.05);观察组的再栓塞率、感染率、缺血率等分别为2.44%、1.22%、1.22%,均低于对照组的12.20%、8.54%及9.76%(P<0.05);观察组的按期复诊率为82.93%,高于对照组的63.41%(P<0.05);而观察组的再住院率为6.10%,低于对照组的17.07%(P<0.05)。结论系统化家庭干预措施可提高下肢动脉硬化闭塞症患者的出院后治疗依从性,降低其并发症发生率和再住院率,提高其按期复诊率,有助于改善其预后。

Objective To explore the effect of treatment compliance after discharge of arteriosclerosis obliterans(ASO)patients of lower extremities with systematic family following up intervention.Methods Totally 164 ASO patients of lower extremities were randomly divided into the control group and the observation group,82 cases in each group.The control group was given routine discharge health education and following up survey,and the observation group was given systematic family following up intervention measures.The indexes of treatment compliance,incidence rate of complications,and regular referral rate and rehospitalization rate were compared between the two groups after intervention.Results After 6 months intervention,the levels of medication compliance,self monitoring,living habit change and psychological adjustment in the observation group were all higher than those in the control group(P<0.05).The incidence rates of reembolization,infection and ischemia in the observation group were respectively 2.44%,1.22%and 1.22%,all lower than those in the control group(12.20%,8.54%and 9.76%,P<0.05).The regular referral rate in the observation group was 82.93%,higher than that in the control group(63.41%,P<0.05).The rehospitalization rate in the observation group was 6.10%,lower than that in the control group(17.07%,P<0.05).Conclusion Systematic family following up intervention for ASO patients of lower extremities could raise treatment compliance after discharge,cut down the incidence rate of complications and the rehospitalization rate,and improve the regular referral rate.It is good for improving the prognosis.