“入院-出院-家庭随访”一站式健康宣教对心房颤动患者导管射频消融术后抗凝治疗依从性的影响

Influence of“admission-discharge-family follow-up”one-stop health education on compliance of anticoagulation therapy after catheter radio-frequency ablation for patients with atrial fibrillation

目的探讨“入院-出院-家庭随访”一站式健康宣教对心房颤动患者导管射频消融术后抗凝治疗依从性的影响。方法选择中国人民解放军联勤保障部队第九〇四医院2018年5月至2021年5月收治的120例心房颤动患者,均在实施导管射频消融术后采用抗凝药物治疗,利用随机数字表法将其分为对照组和试验组,各60例。对照组采用常规健康宣教,试验组采用“入院-出院-家庭随访”一站式健康宣教,比较两组教育前、教育6个月后用药依从性、用药知识知晓率及生活质量。结果教育6个月后,试验组用药依从性高于对照组(P<0.05);两组用药知晓率均高于教育前,且试验组高于对照组(P<0.05);两组各项生活质量评分均高于教育前,且试验组高于对照组(P<0.05)。结论“入院-出院-家庭随访”一站式健康宣教提高患者对疾病用药治疗知识的认知,提升其对药物治疗依从性,促进疾病快速康复,改善生活质量。

Objective To explore influence of“admission-discharge-family follow-up”one-stop health education on compliance of anticoagulation therapy after catheter radiofrequency ablation for patients with atrial fibrillation.Methods A total of 120 patients with atrial fibrillation admitted to the No.904 Hospital of Chinese People’s Liberation Army Joint Logistics Support Force from May 2018 to May 2021 were selected.All patients were treated with anticoagulant drugs after radiofrequency catheter ablation,they were divided into control group and experimental group by random number table,with 60 cases in each group.The control group was given routine health education,while the experimental group was given one-stop health education of“admission-discharge-family follow-up”.The medication compliance,awareness rate of medication knowledge,and quality of life of the two groups were compared before and after six months of education.Results After six months of education,the medication compliance of experimental group was higher than that of control group(P<0.05);the awareness rate of medication in both groups were higher than those before education,and the experimental group was higher than the control group(P<0.05).The quality of life scores of the two groups were higher than those of the control group,and the experimental group was higher than that of the control group(P<0.05).Conclusion One-stop health education of“admission-discharge-family follow-up”can improve patients’knowledge of medication for diseases,enhance their compliance with medication,promote rapid recovery of diseases and improve their quality of life.