2种电话回访方式对PCI术后患者治疗依从性影响比较.doc

2种电话回访方式对PCI术后患者治疗依从性影响比较 　　摘要：目的 探讨两种电话回访方式对PCI术后患者治疗依从性的影响。方法 将2011年1月～12月在我院行PCI术的急性心肌梗死患者126例随机分为观察组和对照组进行电话回访观察。对照组由主管护师对患者本人于出院后1w及第1、3、6个月和1年时进行电话回访，共5次。观察组在对患者进行电话回访的同时对患者家属也进行回访，进行相关知识的健康教育。观察1年内两组患者的治疗依从性情况。结果 观察组在按时就医、遵医服药、规律运动、科学膳食、身心状态等方面的情况明显优于对照组。结论 对PCI术后患者及其家庭成员进行电话回访，能充分发挥家庭及社会的支持作用，其遵医性较仅患者接受电话回访的PCI术后患者的遵医性明显提高。 关键词：电话回访；健康教育；家庭支持；治疗依从性 Two telephone return visit ways on the treatment compliance of patients with PCI postoperative comparison WANG Wen-jie，QIN Cai-ping，SHI Xun-yu （Department of Cardiology，The third hospital affiliated to suzhou university， Changzhou 213000，Jiangsu，China） Abstract：Objective To investigate the two kinds of methods on telephone interviews after PCI impact patient compliance. Methods January 2011-December 2011 in our hospital underwent PCI in acute myocardial infarction 126 cases were randomly divided into observation group and control group follow up call observation. The control group by the charge nurse and the patient was discharged one week after my third at 3 and 6 months and one year follow up call， a total of five times， last visit 1 year. Patients were observed in the group of telephone interviews of family members of patients while also visit for health education related knowledge. Patients were observed for 1 year compliance situation. Results The medication in compliance with health， regular exercise， science diet， timely medical care， and other aspects of physical and mental state than the control group. Conclusion After PCI patients and their family members at the same time follow up call， give full play to the role of family and social support， can improve their treatment adherence and reduce the incidence of complications. Key words：Telephone interviews； Health education； Family support； Treatment adherence 经皮冠状动脉内介入治疗术（percutaneous coronaryinterv- entions，PCI）是治疗急性心肌梗塞的重要手段，可以及时开通梗塞相关血管，恢复冠脉血流，实现心肌再灌注，PCI的冠脉开通率可达90%～95%，可改善心功能，尤其是心源性休克患者可显著降低病死率[1]。但急性心肌梗塞的治疗不仅仅是及时开通罪犯血管，介入治疗患者的预后与对