电话跟踪随访对心脏瓣膜置换术后患者治疗依从性的影响

目的探讨电话跟踪随访对心脏瓣膜置换术后患者治疗依从性的影响。方法选择2005年1月-2007年10月在本院行心脏瓣膜置换手术的患者116例，按患者出院先后顺序分为对照组和随访组。每组各58例。对照组患者在住院期间接受系统健康教育及口头或书面出院指导；随访组在此基础上于出院10d后实施电话跟踪随访。进行延续健康指导。出院后1年比较患者两组治疗依从性和并发症的发生率。结果两组患者在坚持服药、按剂量服药、合理饮食、定期复查及自我监测方面的依从性比较，差异均存在统计学意义（均P〈0．05），随访组在这5方面的治疗依从性均高于对照组。两组患者出血、血栓栓塞、心内膜感染等并发症发生率比较，差异存在统计学意义（均P〈0．05）。结论电话跟踪随访可以满足心脏瓣膜置换术后患者的健康需求，提高患者抗凝治疗依从性，减少并发症。

Effect of call follow-up on treatment compliance of patients after heart valve replacement

Objective To investigate the effect of call follow-up on treatment compliance of patients after heart valve replacement. Methods 116 patients after heart valve replacement were randomly divided into the call follow-up group and the control group equally. The health education were done in the control group, and the telephone follow-up was given on the basis of routine health education in the follow-up group. The treatment compliance and eomplleations were compared between the two groups in one year after discharge. Results The compliance of patients in the follow-up group was significantly higher than that in the control group in terms of persistently taking medications according to prescribed dosage, reasonable dieting, regular reexamination and self-monitoring （P 〈 0.05）. The differences were significant between the groups concerning hemorrhage, thrombebolia, and endoeardial infection （P 〈 0.05）. Conclusion Call follow-up can effeetively meet the needs for health in the patients with heart valve replacement, improve treatment compliance and reduce eomplieations.