冠脉介入治疗术后患者用药依从性自我管理的现状及其的影响因素的研究.docVIP

冠脉介入治疗术后患者用药依从性自我管理的现状及其的影响因素的研究 　　[摘要] 目的 研究冠脉介入治疗术后患者用药依从性、自我管理现状及其影响因素。方法 采用Morisky-Green测评表对180例支架植入术后8～12个月内患者进行调查，了解患者冠脉介入术后的用药依从性；运用冠心病自我管理行为量表、心理问题筛查问卷、自我管理知识问卷和一般资料调查表，对该患者进行调查，了解该患者的自我管理现状及其影响因素。结果 患者用药依从性均较出院时有所降低，其中对氯比格雷的依从性最高（100.00%），而对ACEI/ARB依从性最低（84.44%）。该患者的管理行为量表得分为（80.46±12.10）分，总得分率为59.65%。多因素分析显示自我管理知识、年龄、疾病医学管理知识、文化程度、收入水平、情绪管理知识、是否高特质怒人群以及是否焦虑等因素影响患者的自我管理行为。结论 经皮冠状动脉支架植入术后患者用药依从性不理想，患者的自我管理行为处于较低水平，需要临床医生及患者共同关注并努力提高。 　　[关键词] 经皮冠状动脉支架植入术；用药依从性；自我管理 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2014）31-0124-05 　　Study on medication adherence，self-management status and its influencing factors after percutaneous coronary intervention 　　MAO Sufang1 ZHAO Suyu1 ZHANG Huihong1 ZHANG Guohui2 　　1.Department of Internal Medicine-Cardiovascular of Lishui Peoples Hospital in Zhejiang Province，Lishui 323000，China；2.Department of Cardiology of the First People’s Hosptial of Zhenjiang City in Jiangsu Province， Zhenjiang 212000， China 　　[Abstract] Objective To study the patients’ medication compliance and self-management status and its influencing factors after the coronary artery intervention surgery. Methods The Morisky-Green evaluation form was used to investigate 180 patients in the 8th to 12th month after the stent implantation surgery in order to understand their medication compliance after the coronary artery intervention surgery. The self-management behavior scale， psychological problems screening questionnaire， self-management knowledge questionnaire and general information questionnaire for coronary heart disease were used to investigate the patients in order to understand their self-management status and its influencing factors. Results The patients’ medication compliance all reduced compared to that at discharge from hospital， of which the compliance to clopidogrel was the highest （100.00%） and the compliance to ACEI/ARB was the lowest （84.44%）. The patients’ management behavior scale score was （80.46±12.10） points and the total scoring rat