电话回访式健康教育对AMI后心衰患者疾病自我管理效果的影响

目的 探讨电话回访式健康宣教心肌梗死后对心衰患者疾病自我管理效果影响。方法 入选2010年1月-2011年6月住院诊治的心肌梗死后心衰II-III级患者121例,随机分为研究组(63例)和对照组(58例)。入选时对两组患者进行常规健康教育,并建立患者疾病档案数据库。研究组采用电话回访方式进行健康教育。回访重点关注患者对心肌梗死后心衰医学知识的知晓度、遵医行为、自我检测等。1年后比较两组患者遵医行为等情况和因症状加剧而急诊和住院的次数。结果 研究组患者遵医行为、自我检测管理与对照组比较有显著差异(P<0.05)。研究组患者1年内急诊和住院次数明显少于对照组(P<0.05)。结论 采用电话回访式健康教育可有效提高心肌梗死后心力衰竭患者的遵医行为,显著减少患者急诊和住院次数,有利于巩固抗心力衰竭治疗疗效,改善预后。

The effects of telephone education intervention on disease self-management and outcomes in patients with post-myocardial infarction heart failure Xu qing, Yu Xiaoping (Dept. of Geriatics, Rui Jin Hospital, Shanghai Jiaotong University School of Medicine, 200025)

Objective: To investigate the effects of reinforcing telephone education on disease self-management and outcomes in patients with heart failure. Methods: This study included 121 admitted patients with heart failure after myocardial infarction between January 2010 and June 2011. The participants were randomly categorized as study group (n= 63) and control group (n= 58) with documentation of related medical and baseline files. Both groups received a session of routine healthcare education during hospital stay, afterwards the patients of study group were subject to an intervention of telephone education and communication, which mainly covered disease-knowing, medication compliance, symptom recognition and self-monitoring. After 1 year, compliance with medications, emergency room-visiting and hospitalization due to worsening heart failure syndrome were compared between the two group patients. Results: Significant difference was observed between the two group patients in medication compliance and self-monitoring (P<0.05). The patients of study group had obviously lower rate of emergency-visiting and hospitalization as compared with control group patients (P<0.05). Conclusion: Follow-up intervention of telephone education improves medication compliance and self-monitoring, reduces rates of emergency room-visiting and hospitalization, accompanied with favorable outcomes.