急性冠状动脉综合征合并心房颤动患者抗栓依从性调查分析.docVIP

急性冠状动脉综合征合并心房颤动患者抗栓依从性调查分析 　　[摘要]目的?{查分析急性冠状动脉综合征合并心房颤动患者抗栓治疗的依从性及其相关因素。方法将接受抗栓治疗的166例急性冠状动脉综合征合并心房颤动患者作为研究对象，所有患者根据CHA2DS2_VASc评分给予相应的抗栓治疗，记录患者基本信息并通过随访调查的形式对患者治疗过程中的抗栓依从性进行统计学分析，并探讨其相关影响因素。结果166例患者出院后6个月抗栓治疗依从性良好者85例（5120%），其受患者性别、年龄、文化程度、居住地、是否参加过相关培训及家属认知度有关，组间差异均有统计学意义（P005）。166例患者出院后12个月抗栓治疗依从性良好者61例（3675%），其影响因素可能与年龄、文化程度、居住地、是否参加过培训及家属认知度有关，组间差异存在统计学意义（P001）。结论急性冠状动脉综合征合并心房颤动患者院外抗栓治疗依从性低下，其可能影响因素有患者年龄、文化程度、居住地、疾病相关培训及家属认知度。提高患者和家属对疾病及应用药物的认知度能够增加患者院外治疗依从性。 　　[关键词]急性冠状动脉综合征；心房颤动；抗栓治疗；依从性 　　中图分类号：R5414；R5417文献标识码：A文章编号：1009_816X（2017）06_0442_04 　　doi：103969/jissn1009_816nvestigation and Analysis on the Antithrombotic Therapy Compliance of Patients with Acute Coronary Syndrome and Atrial Fibrillation ZHU Li_ping， CHEN Ying， ZHOU Huan_fang， et al Wuxi NO 2 People’s Hospital， Jiangsu 214002， China 　　[Abstract] Objective Through the observation of the cooperation and antithrombotic therapy compliance of patients with acute coronary syndrome and atrial fibrillation， to analyze the related factors Methods 166 patients with acute coronary syndrome and atrial fibrillation who were diagnosed and given anti thrombotic treatment in our hospital from January 2011 to February 2015， were taken as the research objects All patients were given antithrombotic treatment according to their CHA2DS2_VASc score， basic information of the patients were recorded， statistical analysis was conducted on the antithrombotic therapy compliance in patients by follow_up surveys， and the related factors were discussed Results The compliance of 85 patients among the 166 patients of antithrombotic treatment appeared well at 6 months after discharge， and the rate of good medical compliance was 5120%， which was related to gender， age， education level， residence， relevant training and cognition of family members The differences between groups were statistically significant （P 　　[Key words] Acute coronary syndrome； Atrial fibrillation； Anti thrombosis； Compliance 　　急性冠状动脉综合征（acute c