不同健康教育方式对老年心肌梗死出院后用药依存性的影响

目的通过对老年急性心肌梗死患者出院后电话随访,疾病讲座,建立疾病档案,将健康教育延伸到患者家里,进行有效的健康指导,提高老年患者用药依从性,有效地巩固治疗效果,预防复发。方法选择2008年1月—2011年1月入住该院的老年急性心肌梗死患者,分为对照组和实验组。实验组、对照组住院期间采用常规住院健康教育,而出院后,对照组按传统方式发放出院小结,对用药、注意事项进行指导;而实验组采用建立回访档案,定期电话随访,每月健康讲座、家庭探访相结合方式,进行健康指导。结果实验组有效提高病人用药依从性,积极参与疾病的合理治疗中,有效地巩固了住院治疗效果。结论急性心肌梗死（AMI）是老年最常见的急危重症,由于年龄生理特点,患者自我保健意识差,对疾病的认识不充分,较其他人群更易出现用药依存性降低,通过采用建立回访档案,定期电话随访,每月健康讲座、家庭探访相结合方式,进行健康指导实验组有效提高患者用药依从性,有效地巩固了住院治疗效果,减少疾病复发,减轻患者痛苦及家庭社会负担。

Different Ways of Health Education for Acute Myocardial Infarction in the Elderly after Discharge Medication Dependence Effect

objective To elderly patients with acute myocardial infarction after discharge telephone follow-up,disease,establishing archives of disease,health education,will extend to patients with home,effective health guidance,improves the old age patient compliance,effectively consolidating treatment efficacy,prevention of relapse.Methods 2008 January-2011 January method selection in the Department of Cardiology of the elderly patients with acute myocardial infarction,divided into control group and experimental group.The experimental group,the control group using conventional inpatient health education during hospitalization,and after discharge,the control group according to the traditional ways to distribute the discharge summary,on the medication,pay attention to matters of guidance;and the experimental group used the establishment of reciprocal files,regular telephone follow-up,monthly lectures on health,home visiting combination,health guidance.Results The effective improvement of medication compliance,actively involved in the disease treatment,effective consolidation of the inpatient treatment effect.Conclusion Acute myocardial infarction（AMI） is the most common in the elderly critically ill,due to the age of physiological characteristics,patient self-care consciousness difference,the understanding of the disease is not sufficient,compared to other populations are more vulnerable to drug dependence is reduced,through the use of the establishment of reciprocal files,regular telephone follow-up,monthly lectures on health,family visits to the combination mode health guidance,the experimental group effectively improve patients compliance,effective consolidation of the inpatient treatment effect,reduce the recurrence of the disease,reduce the pain of the patient and family social burden.