动脉硬化闭塞症介入治疗术后出院患者用药依从性调查

目的 了解动脉硬化闭塞症介入治疗术后出院患者的用药依从情况及不依从的主要原因.方法 采用自设的用药依从性调查问卷,对72例动脉硬化闭塞症介入治疗术后出院回门诊复查的患者进行问卷调查.结果接受调查的72例患者中依从性好者29例,占40.3％;基本依从32例,占44.4％;依从性差11例,占15.3％.用药依从性差主要表现：擅自停药23例,占31.9％;擅自减药26例,占36.1％;漏服37例,占51.4％;擅自加药8例,占11.1％.不依从的原因主要包括认为疾病已痊愈不需要治疗、自觉疾病好转或加重、害怕药物副作用或药物疗效不好、经济原因、出院时缺乏指导、记忆力差等.由于依从性差引起术后严重不良后果的有3例,占4.2％.结论 本组患者总体依从性较好,基本可以遵照医嘱正确服药,依从性差的患者最普遍的表现是漏服药物.通过对动脉硬化闭塞症介入治疗术后出院患者用药依从性及主要影响因素的调查,研究对策,寻求有效的护理干预措施,提出改善用药依从性的建议.

Investigation of treatment compliance after endovascular procedures in discharged patients with arteriosclerosis obliterans

Objective To investigate the compliance of medication in patients with arteriosclerosis obliterans （ASO） discharged after endovascular procedures,and to find out the reasons of deviation by self-designed questionnaire survey.Methods Seventy-two patients with ASO,discharged after endovascular procedures,were surveyed by self-designed questionnaire during follow-up visit in clinic.Results In the 72 patients investigated,there were 29 cases （40.3%） with good compliance,32 cases （44.4%） with acceptable compliance and 11 cases （15.3%） with poor compliance.The major deviations included discontinuing medication （23 cases,31.9%）,decreasing dosage （26 cases,36.1%）,increasing dosage （8 cases,11.1%） without authorizationand missing dosage （37 cases,51.4%）.There were 3 postoperative serious adverse events caused by medication deviation.Conclusions Patients investigated in the study generally have good compliance of medication.Among the patients with poor compliance,missing dosage is the most common reason for deviation.