护士电话随访对于冠心病慢性心衰患者药物依从性的影响研究.docVIP

精品论文 参考文献 护士电话随访对于冠心病慢性心衰患者药物依从性的影响研究 邓晓剑 干丽 代萍 　　（德阳市人民医院心血管内科 四川 德阳 618000） 　　【摘 要】目的：研究护士电话随访对于改善心功不全住院患者出院后药物依从性的作用。方法：共计60名因冠心病慢性心功不全为主要诊断的住院患者纳入本研究，并随机分为护士电话随访组及常规治疗组，电话随访组接受每两周1次，共计三个月的电话随访，均使用参照Morisky问卷评价患者的药物依从性。结果：电话随访组患者药物使用依从性显著高于对照组明显（70.00% vs. 43.33%, p=0.037）。结论：护士对于冠心病心功不全患者出院后进行电话随访，可显著改善药物依从性，具有重要的临床意义。 　　【关键词】护士；电话随访；药物依从性；冠心病；心功不全 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】1003-5028（2015）8-0540-02 　　Nurse-led telephone follow-ups can improve medication adherence for patients with heart failure due to coronary heart disease 　　DENG Xiaojian Gan Li Dai Ping 　　( Department of Neurosurgery Peoplersquo;s Hospital of Deyang City Chengdu University of TCM Deyang, China,618000) 　　【Abstract】Background Poor medication adherence is a major cause of avoidable hospitalizations, premature deaths, and increased healthcare costs for patients with heart failure due to coronary heart disease. This study aims to test the effectiveness of nurse-led telephone follow-ups on patientsrsquo; medication adherence.Methods Patients with main discharge diagnosis of heart failure due to coronary heart disease were randomized to either the intervention or control group. In the intervention group, telephone follow-ups after discharge were conducted by nurses every two weeks. The control group received usual care. Evaluation of medication adherence of both groups was conducted with Morisky questionnaire at 3 month.Results After 3 month of follow-ups, patients in the intervention group were more likely to be adherent to medications compared with patients in the control group (70.00% vs. 43.33%, p=0.037). Conclusions A nurse-led, regular telephone follow-ups improved medication adherence in patients with heart failure due to coronary heart disease. This intervention has very important clinical significance. 　　【Key words】Nurse; Telephone follow-ups; Medication adherence; Coronary heart disease; Heart failure 　　2014年中国心血管病报告指出，我国目前现有心力衰竭患者450万，而且引起心力衰竭的主要原因已从风湿性心脏瓣膜病转为