临床误诊误治Issue(6)：89-92,4.DOI:10.3969/j.issn.1002-3429.2015.06.034
非血运重建急性冠状动脉综合征患者抗血小板治疗依从性影响因素分析
Analysis and Influential Factors of Compliance of ACS Patients without Revascularization to Anti-platelet Therapy
李京芳 1齐书英 2杨秀赏3
作者信息
- 1. 050800 河北 正定，正定县人民医院内科
- 2. 050082 石家庄，解放军白求恩国际和平医院心血管内科
- 3. 050000 石家庄，河北医科大学第二医院心内科导管室
- 折叠
摘要
Abstract
Objective To observe the compliance of acute coronary syndrome(ACS) patients without revasculariza-tion to anti-platelet therapy and its influential factors. Methods 130 patients with NSTE-ACS without recalculation therapy admitted to our hospital during June 2012 and December 2012 were evaluated on their compliance of anti-platelet therapy,and influential factors were analyzed statistically using questionnaires. Logistic regression analysis of factors was used and a clinical malignant event was assessed. Results As the discharge time ( week 1-3 months) extended, compliance of the 130 cases of without revascularization ACS patients anti-platelet therapy was reduced gradually. Knowledge awareness rate of anti-platelet therapy from full compliance group, partial compliance group and non-compliance group had significant difference (P<0. 01). Full compliance group was higher than the other two groups with statistically significant difference(P<0. 05, P<0. 01). The main influential factors included low antithrombotic knowledge, low income, family relations and nurse-patient relationship( P<0. 05,P<0. 01). In full compliance group, malignant clinical event rate was far lower than that of incomplete compliance group and noncompliance group, with statistically significant difference between the three groups (P<0. 05). Conclusion According to the risk factors, the antiplatelet therapy compliance can be enhanced for ACS patients without revascularization, using a varie-ty of measures, which can significantly improve disease control rate and increase recovery rate.关键词
急性冠状动脉综合征/抗血小板治疗/依从性/影响因素Key words
Acute coronary syndrome/Anti-platelet therapy/Compliance/Influential factor分类
医药卫生引用本文复制引用
李京芳,齐书英,杨秀赏..非血运重建急性冠状动脉综合征患者抗血小板治疗依从性影响因素分析[J].临床误诊误治,2015,(6):89-92,4.
