冠状动脉支架术后医生电话随访对患者依从性的影响

目的探讨医生电话随访对冠状动脉粥样硬化性心脏病(冠心病)患者戒烟依从性、服药依从性及冠状动脉支架术后复查造影的依从性的影响。方法将160例冠状动脉支架术后患者按随机数字表法随机分为随访组(80例)和对照组(80例)两组。出院时都叮嘱入选患者术后必须戒烟、长期服药和1年内返院复查冠状动脉造影。出院后只对随访组进行电话随访,出院1年后评定两组患者的依从性。结果随访组患者的戒烟依从性90.32%(56/62)vs.75.00%(45/60),χ2=5.02,P<0.05]、服药依从性91.25%(73/80)vs.77.50%(62/80),χ2=5.74,P<0.05]及冠状动脉支架术后复查造影依从性90.00%(72/80)vs.76.25%(61/80),χ2=5.39,P<0.05]均较对照组高,差异有统计学意义(P<0.05)。结论医生电话随访对提高冠心病患者戒烟依从性、服药依从性及冠状动脉支架术后复查造影的依从性具有一定的临床意义。

Effect of doctor-led telephone follow-up on compliances in patients after intracoronary stenting

Objectives To observe the effect of doctor-led telephone follow-up on compliances of cigarette quitting, medication and angiography review in patients after intracoronary stenting. Methods A total of 160 patients after intracoronary stenting were randomly divided into follow-up group （80 patients） and control group （80 patients）. Patients in the two groups were instructed to stop smoking, take pills for a long-term and return to review coronary angiography in one year. We only conducted telephone follow-up in follow-up group after they left hospital. Compliances were compared between the two groups after 1 year. Results Rates of compliances of cigarette quitting 90.32% （56/62） vs. 75.00% （45/60）, X2=5.02,P〈0.051, medication 91.25% （73/80） vs. 77.50% （62/80）, x2=5.74,P〈0.05] and angiography review 90.00% （72/80） vs. 76.25% （61/80）, AA=5.39, P〈0.05] were significantly higher in follow-up group than those in control group （P〈0.05）. Conclusions Doctor-led telephone follow-up can increase patients＇ compliances of cigarette quitting, medication and angiography review.