摘要
目的评估规范化门诊随访对老年冠心病患者服药依从性、心血管事件再入院率和生活质量的影响。方法选择2010年8月~2011年2月在四川大学华西医院老年心血管门诊就诊的110例65岁以上冠心病患者,分为强化管理组(n=55)和一般管理组(n=55)。强化管理组给予定期随访、定期检测、疾病讲座等措施,观察两组患者服药依从性、心血管事件再入院率和生活质量。结果随访1年后发现,强化随访组阿斯匹林/氯吡格雷(98.18% vs. 67.27%,P<0.05)、硝酸甘油制剂(85.45% vs. 40.00%,P<0.05)、ACEI/ARB(56.36% vs. 18.18%,P<0.05)、β受体阻滞剂(58.18% vs. 29.09%,P<0.05)和他汀类药物(94.55% vs. 32.73%,P<0.05)的服药率均好于一般管理组;因心血管事件再入院率也较低(12.73% vs. 41.42%,P<0.05);生活质量评分也好于一般管理组(P<0.05)。结论以循证医学为指导加强老年冠心病患者的门诊规范化管理,有助于提高患者服药依从性,减少患者心血管事件再入院率,并能提高患者生活质量。
Objective To evaluate the efficacy of normalization management on prognosis in elderly patients with coronary artery disease,in aspects of drug compliance,readmission rate and quality of life.Methods A total of 110 patients above 65 years old with coronary artery disease visiting West China Hospital from August 2010 to February 2011 were investigated.The patients were divided into two groups: the intensive management group(n=55) and the general management group(n=55).The measures such as regular follow-up,regular examination and medical education were conducted in the intensive management group,and the two groups were observed in aspects of drug compliance,readmission rate and quality of life.Results After 1-year follow-up,the percentages of patients taking aspirin/clopidogrel(98.18% vs.67.27%,P〈0.05),nitrate(85.45% vs.40.00%,P〈0.05),ACEI/ARB(56.36% vs.18.18%,P〈0.05),β receptor blocker(58.18% vs.29.09%,P〈0.05) and statin(94.55% vs.32.73%,P〈0.05) were higher in the intensive management group than those in the general management group.Also,the readmission rate was lower(12.73% vs.41.42%,P〈0.05) and the score of quality of life was higher in the intensive management group than that in the general management group.Conclusion The normalization management guided by evidence-based medicine for the elderly patients with coronary artery disease is helpful to improve the drug compliance,reduce the readmission rate,and improve the quality of life.
出处
《中国循证医学杂志》
CSCD
2012年第5期520-523,共4页
Chinese Journal of Evidence-based Medicine
关键词
老年
冠心病
疾病管理
预后
Elderly patients
Coronary artery disease
Disease management
Prognosis