李怡然 刘燕平 吴 瑛 刘溢思

    100069 北京市 首都医科大学护理学院(李怡然，刘溢思，吴瑛)，首都医科大学附属宣武医院(刘燕平)

    急性冠脉综合征介入术后患者服药依从性及其影响因素

    李怡然刘燕平吴瑛刘溢思

    100069北京市首都医科大学护理学院(李怡然，刘溢思，吴瑛)，首都医科大学附属宣武医院(刘燕平)

    摘要目的：探讨急性冠脉综合征(ACS)患者经皮冠状动脉介入治疗(PCI)术后服药依从性及其影响因素。方法：选择2013年5月~2014年2月我院ASC行PCI术后患者82例，采用Morisky量表评价服药依从性。结果：平均出院时间(5.72±2.59)个月，每日需服药物种类(6.20±1.35)种，每日服药总次数(8.17±3.45)次，每日服药(12.72±7.35)片。Morisky平均得分为(3.33±0.79)分，50%的患者依从性差。忘记服药为最常见的不得分条目，自行停药的原因最常见为自我感觉良好。Spearman相关分析结果显示，患者每日服药种类数、总次数、总片数越多，发病病程越长，服药依从性越差。logistic分析发现每日服药总次数和本次发病病程为依从性差的独立预测因子。结论：ACS患者PCI术后半年服药依从性差，患者服药依从性随每日服药总次数和本次发病病程的增加而下降。

    关键词依从性； 冠脉介入术；急性冠脉综合征

    doi:10.3969/j.issn.1672-9676.2016.02.001

    The drug therapy compliance of patients with acute coronary syndrome operation and its factors

    LI Yi-ran, LIU Yi-si, WU Ying(Capital Medical University Clinical School of Nursing,Beijing100069)

    LIU Yan-ping(Xuanwu Hospital Capital Medical University,Beijing100053)

    AbstractObjective：To explore the drug therapy compliance of acute coronary syndrome (ACS) patients who has percutaneous coronary intervention (PCI) and its factors. Methods:Take 82 patients hospitalized for ACS and had PCI treatment between May.2013 and Feb.2014 as our subject and use scale to evaluate the drug therapy compliance of patients.Results:The patients usually stay in hospital for (5.72±2.59)months and leave the hospital ; they usually need (6.20±1.35)kinds of medicine; they need to take medicine (8.17±3.45)times every day; they need to take about (12.72±7.35)pills every day. The average score of Morisky was (3.33±0.79)and half patients has bad drug therapy compliance. The most common no-score entry is forgetting drugs and the most common reasons of stopping taking medicine is that they feel good by themselves. The results of Spearman analysis showed that patients take more medicine every day, take medicine more often, the longer they will stay with the disease and the drug therapy compliance was worse. Logistic analysis showed that the medicine taking times every day and the course of disease was an independent predictor of bad drug therapy reliance. Conclusion:ACS patients who have PCI treatment half year ago has bad drug therapy reliance and the drug therapy reliance will decrease with the increase of total times of medicine taking every day and the course of disease. ......