经皮冠状动脉介入治疗术后患者服药依从性及影响因素分析

Drug compliance and related influence factors for the patients with percutaneous coronary intervention

目的探讨行经皮冠状动脉介入治疗(PCI)术后患者服药依从性行为现状,分析其影响因素。方法采用服药依从性量表、服药依从性影响因素问卷和一般资料调查表以行PCI术后患者为调查对象,对入组的109例患者进行评价。结果服药依从性受性别、婚姻状况、冠心病病程、吸烟年限、戒烟年限、糖尿病、高血脂和总胆固醇及低密度脂蛋白-胆固醇水平等因素影响(P<0.05)。PCI术后患者服药依从性总分与用药知识、用药信念行为有显著正相关性。多元回归分析显示,冠心病病程与能否按照医院要求的时间服药和能否按照医生的要求长期服药从不间断呈负相关,是否合并糖尿病与能否按照医院要求的量服药呈负相关。结论行PCI术后患者依从性行为呈中等偏低水平,并受多方面因素的影响,医务工作者应加强对该人群患者及家属的健康教育,告知用药的重要性及相关注意要点,提高患者的认知度及依从性。

Objective To investigate patient's compliance to medical treatment after percutaneous coronary intervention(PCI)and relevant influence factors. Methods The medication compliance chart, impact factor questionnaire and demographic data were collected from 109 patients who received PCI. Results The medication compliance was related to gender, marriage status, the course of coronary heart disease, smoking years, smoking cessation years, diabetes, hyperlipoidemia, and levels of total cholesterol and low density lipoprotein-cholesterol(P<0.05). There was a significant positive correlation between the total score of medication compliance with the knowledge of medication, medication beliefs and behaviors after PCI. In multiple regression analysis, there was negative correlation between the course of coronary heart disease with whether according to the medication time required by the hospital and according to the long-term medication required by the doctor; there was negative correlation between diabetes with according to the dosage required by the hospital. Conclusion Patients who receive PCI have low to moderate compliance to subsequent treatment, various factor have impact on their compliance. Health education to patient and family carried out by medical workers should be encouraged to inform them of the importance of medical treatment and attention points, thus improving their understanding and compliance.