院外追踪健康教育对提高心血管疾病患者遵医行为的影响

目的探讨院外追踪健康教育对心血管疾病患者遵医行为的影响。方法将80例出院心血管疾病患者随机分为对照组和追踪组各40例。对照组只做出院指导，追踪组给予出院指导和院外追踪健康教育。追踪健康教育1年后对2组患者遵医行为包括治疗性生活方式改变及再次住院率、死亡率进行调查。结果追踪组与对照组出院后1年内遵医行为及再次住院率、死亡率比较，差异有统计学意义，P＜0．01，P＜0．05，追踪组遵医行为显著好于对照组。结论心血管疾病患者院外追踪健康教育是提高患者遵医行为的有力措施。

Study of follow-up health education on promoting cardio-vascular patients＇ compliance with doctor＇s advices after leaving hospital

Objectives To explore the effects of follow-up health education of cardio-vascular patients outside hospital on their compliance with doctor＇s advices. Methods Eighty cardio-vascular patients were selected and divided randomly into the control group and the follow-up group with 40 cases in each group. The patients of the control group were given instructions only before leaving hospital while those of the follow-up group received follow-up health education as well as the leaving-hospital instructions. Investigations were carfled out one year after follow-up health education in the two groups＇ compliance with doctor＇s adviees including their therapeutic changes of lifestyle, re-admittance to hospital and mortality. Results Significant differences were found between the follow-up group and the control group in respect of the patients＂ compliance with doetor＇s advices, re-admittance to hospital and mortality ,P 〈 0.01 ,P 〈 0.05. The compliance with doctor＇s advices in the follow-up group was obviously better than that of the control group. Conclusions The follow-up health education can be an effective way for promoting the cardio-vascular patients＂ compliance with doctor＇s advice after leaving hospital.