降低急性心肌梗死PCI术后再住院率影响因素评价.docVIP

降低急性心肌梗死PCI术后再住院率影响因素评价 　　摘要：目的 给予急性心肌梗死PCI术后患者生活方式及规律服药知识跟踪指导，对降低急性心肌梗死PCI术后再住院率的影响因素进行评价。方法 选取2014年2月～2016年11月首次发作急性心肌梗死PCI术后的120例患者，于出院前1 d向患者介绍出院后跟踪指导活动，本着自愿的原则签订指导协议，将入选患者分为自愿组61例、拒绝组59例。对自愿组患者实施家庭访视给予生活方式干预，并从5个方面进行服药知识指导。对拒绝组患者实施电话随访。两组患者均于出院后第1个月、3个月、6个月、9个月来院复查，9个月后将所得数据进行统计分析。?Y果 自愿组能够规律服药、保持良好的生活方式、自觉控制合并症的比例明显高于拒绝组（P0.01）；因胸闷、胸痛、心律失常和血管狭窄等心血管事件发生而再次住院率明显低于拒绝组（P0.01或P0.05）。结论 重视对出院患者跟踪服药指导，提高服药依从性，合理控制合并症，有利于减少心血管事件发生，降低急性心肌梗死术后患者再次住院率。 　　关键词：急性心肌梗死；跟踪服药指导；生活方式；再住院率 　　中图分类号：R473.5 文献标识码：A 文章编号：1006-1959（2017）23-0091-02 　　Evaluation of Influencing Factors on Readmission Rate after PCI in Patients with Acute Myocardial Infarction 　　LIU Su-mei 　　（Department of Cardiac Surgery，Two Subjects，Affiliated Hospital of Xuzhou Medical University，Xuzhou 221002，Jiangsu，China） 　　Abstract：Objective To evaluate the influence of lifestyle and regular medication knowledge on the rate of rehospitalization after acute myocardial infarction（AMI）after PCI in patients with acute myocardial infarction（AMI）after PCI.Methods From February 2014～2016 year in November 120 cases of acute myocardial infarction patients after PCI onset，before discharge to a patient is introduced after discharge guidance，in line with the principle of voluntary guidance signed agreement，they were divided into voluntary group of 61 cases，59 cases of rejection group.On the voluntary group of patients with family visits to give lifestyle intervention，and from five aspects of medication knowledge guidance.Telephone follow-up was performed on the patients in the rejection group.Two groups of patients were discharged from the hospital after 1 months，3 months，6 months，to review the hospital for 9 months，9 months after the data were analyzed.Results The voluntary group to regular medication，keep the good life style，consciously control the complications was significantly higher than the proportion of rejection group（P0.01）；due to chest tightness，chest pain，arrhythmia and vascular stenosis and cardiovascular