摘要
目的了解冠脉支架置入术后患者服用抗血小板药物依从性情况，探讨其相关因素。方法采用家庭关怀度指数问卷（APGAR）及药物依从性评价表调查75例冠脉支架置入术后患者。结果冠脉支架置入术后存在不遵医服用抗血小板药物患者占44．0％，主要为漏服占。28．0％。75例患者对抗血小板药物知识了解的总分为（26．36±2．85）分，其中患者对抗血小板药物的副作用及不服用的不良后果的知识了解不多。患者抗血小板药物依从性中位分值为15．61分，完全遵医嘱服用抗血小板药物的患者占56．0％。75例患者，不遵医服药的主要行为为漏服占28．0％。不同支架置入的时间、服用抗血小板药物种类、患者对服药持续时间的了解程度及家庭功能患者药物依从性差异均有统计学意义（P〈0．05）。服药依从性与支架置入时间呈负相关（r=-0．304，P〈0．01），与对抗血小板药物服用持续时间的了解情况、家庭功能呈正相关（r=0．259，0．266；P〈0．05）。结论支架置入术后，应加强对患者及家属的健康教育，启动家庭支持系统，提高患者服药依从性，降低支架置入术后并发症的发生。
Objective To explore compliance of anti-platelet therapy of patients after coronary stent implantation and relative factors. Methods 75 patients after coronary stent implantation were investigated by APGAR and drug compliance evaluation scale. Results 44.0 % of patients （ n = 33 ） failed to take anti-platelet drugs exactly following the prescription, the main form is omitting to take anti-platelet drugs （28.0%）. The total score of understanding about antiplatelet medication knowledge in 75 patients was （ 26.36 ± 2.85 ）, they took not much knowledge about antiplatelet druys＇ side effects and adverse consequences. The median adherence score of compliamce of antiplatelet drugs was 15.61. Fully accounted for 56.0%. The main non-complicance behavior was missed 28.0%. Different time of stent placement, antiplatelet druy type, duration of patient understanding of medication and medication compliance in patients with family functioning were statistically significant differences （ P 〈 0. 05 ） ; Medication compliance and stent placement time was negatively correlated （r = -0. 304,P 〈0.01 ）, and duration of antiplatelet drug use to understand the situation, family functioning was positively correlated （ r = 0. 259,0. 266 ; P 〈 0. 05 ）. Conclusions The rate of good compliance of antiplatelet therapy of patients after stent implantation is much lower. Nurses should emphasize the education about anti-platelet therapy and start family support system in order to improve the compliance of anti-platelet therapy.
出处
《中华现代护理杂志》
2011年第27期3239-3242,共4页
Chinese Journal of Modern Nursing
关键词
支架置入术后
抗血小板药物
依从性
相关因素
健康教育
After stent implantation
Anti-platelet therapy
Compliance
Relative factors
Education
