北京地区军队干部冠心病患者二级预防用药依从性随访研究

目的分析军队干部冠心病(CHD)患者二级预防用药依从性的现状、影响因素,探讨解决办法。方法对我院2008年1月至2011年1月期间确诊的871例冠心病患者半年后进行随访,参考Mofisky-Green(MG)测评表进行依从性评判,分为依从性好组和依从性差组,对其影响因素进行统计分析。结果 871例患者中依从性差组138例(15.8%),依从性好组733例(84.2%),两组在文化程度、职业、医患关系、发病次数、对冠心病的了解、医生随诊方面差异有统计学意义(P<0.05)。结论冠心病患者药物治疗依从性差者,影响因素较多,应针对相关因素实施对策以提高服药依从性。

Compliance in secondary prevention of coronary heart disease:a follow-up study on military man in Beijing city,China

Objective To analyze the compliance in secondary prevention of coronary heart disease (CHD) and its influence factors. Methods From January 2008 to January 2011, 871 CHD patients diagnosed in our hospital were followed up for 6 months and divided into two groups according to Mofisky-Green (MG): good compliance group and bad compliance group. The influencce factors of compliance were analyzed. Results Of the 871 patients, 138 (15.8%) were found with bad compliance (bad compliance group), and 733 (84.2%) were found with good compliance (good compliance group). Patients in the two groups showed statistically significant difference in educational level, occupation, doctor-patient relationship, comprehension about CHD, frequency of onset and doctor’s follow-up (P<0.05). Conclusion There were many factors that influence the compliance in secondary prevention of CHD. We should take corresponding measures to improve the compliance.