出院定期随访在提高老年患者经皮冠状动脉介入治疗术后遵医行为中的应用

摘要

目的 探讨出院定期随访对老年患者经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后遵医行为的作用.方法 将PCI术后出院的122例老年患者按出院日期的先后顺序随机分为观察组和对照组各61例.观察组患者在出院后1个月、3个月、6个月和12个月时进行4次电话回访,对存在问题给予指导和建议,对照组患者在出院后12个月进行1次回访.比较两组患者出院后12个月遵医行为情况.结果 两组患者出院后12个月遵医行为情况比较,观察组患者的服药依从率和适当运动率明显较对照组增高,并且观察组患者再住院率明显低于对照组(P<0.05),但两组病死率比较差异无统计学意义(P＞0.05).结论 出院定期随访对老年PCI术后患者的遵医行为起到重要作用.出院后定期随访有利于改变患者服药依从性和促进患者适当运动,有利于改变患者不良生活方式.%Objective To discuss the effects of regular follow-up on lite compliance of elderly patients after percutaneous coronary intervention (PCI). Methods Altogether 122 elderly paiierits aged over 60 after PCI were randomly divided into observation group and control group. Patients in observation group were followed up at the 1st 3rd, 6th and 12th month respectively after discharge by telephone to provide instructions and advice. Patients in control group were followed up only at. The 12th month. The compliance of patients in two groups was compared. Results Patients in observation group showed belter compliance in behaviors such as oral drug usage and proper exercise than those in control group did. Conclusion Regular follow-ups are essential for the improvement of compliance of elderly patients after PCI.