《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (4): 398-400.

• 康复护理 • 上一篇    

随访系统在冠心病介入患者健康管理中的应用

胡鑫，李帼英，舒婧，赵智丽，薛桥，高磊   

  1. 解放军总医院老年心血管病研究所监护室，北京市100853
  • 收稿日期:2012-08-06 修回日期:2012-12-10 出版日期:2013-04-25 发布日期:2013-04-25

Health Management with Follow-up System for Patients post Percutaneous Coronary Intervention

HU Xin, LI Guo-ying, SU Jing, et al   

  1. The institute of Geriatric Cardiology, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2012-08-06 Revised:2012-12-10 Published:2013-04-25 Online:2013-04-25

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摘要： 目的探讨智能随访系统在冠心病介入治疗术后健康管理中的应用价值。方法老年心内科完成冠心病介入治疗的患者100 例，分为对照组(n=50)和智能随访组(n=50)。观察两组服药依从性、冠心病危险因素知晓率。结果随访6 个月、1 年时，对照组抗血小板药物、他汀类药物使用率下降(P<0.05)，智能随访组无显著性差异(P>0.05)。随访1 年时，智能随访组对吸烟、高血压、高血糖、高血脂、肥胖等危险因素的知晓率较入院时显著提高(P<0.001)，对照组无显著性差异(P>0.05)。结论利用智能随访系统对冠心病介入治疗术后患者进行临床宣教和干预指导，能提高患者服药依从性和对健康知识的知晓率。

关键词: 冠状动脉性心脏病, 经皮冠状动脉介入, 健康管理, 随访系统, 依从性, 知晓

Abstract: Objective To investigate the application of Follow-up System in health management for the patients after percutaneous coronary intervention (PCI). Methods 100 patients underwent PCI were divided into study group (n=50) and control group (n=50). The control group received routine follow-up and the study group was followed up with the direction of Follow-up System. The incidence of adherence to medication after discharge and awareness of risks of coronary heart disease were recorded 6 and 12 months after discharge. Results The incidence of adherence to medication decreased in the control group (P<0.05) after discharge, but was stable in the study group (P>0.05). Awareness of risks of coronary heart disease increased in the study group 12 months after discharge (P<0.01), but was stable in the control group (P>0.05). Conclusion Follow-up System may help to improve the compliance and awareness in health management in the patients after PCI.

Key words: coronary artery disease, percutaneous coronary intervention, health management, Follow-up System, compliance, awareness