系统化家庭随访干预对下肢动脉硬化闭塞症患者出院后治疗依从性的影响

doi:10.3969/j.issn.1006-5253.2019.03.012

摘要
图/表
参考文献
相关文章 (2)

全文: PDF (938 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨系统化家庭随访干预对下肢动脉硬化闭塞症患者出院后治疗依从性的影响。方法将164例下肢动脉硬化闭塞症患者随机分为对照组和观察组，每组82例；对照组给予常规出院健康教育和随访调查，观察组则给予系统化家庭随访干预措施；比较两组患者干预后的治疗依从性、并发症发生率、按期复查率及再住院率等指标。结果干预6个月后，观察组的服药依从性、自我监护、生活习惯改变及心理调节等水平均高于对照组（P<0.05）；观察组的再栓塞率、感染率、缺血率等分别为2.44%、1.22%、1.22%，均低于对照组的12.20%、8.54%及9.76%（P<0.05）；观察组的按期复诊率为82.93%，高于对照组的63.41%（P<0.05）；而观察组的再住院率为6.10%，低于对照组的17.07%（P<0.05）。结论系统化家庭干预措施可提高下肢动脉硬化闭塞症患者的出院后治疗依从性，降低其并发症发生率和再住院率，提高其按期复诊率，有助于改善其预后。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	张敏
	徐媛媛

关键词 ：动脉硬化闭塞症, 下肢, 治疗依从性, 随访干预

Abstract：Objective To explore the effect of treatment compliance after discharge of arteriosclerosis obliterans (ASO) patients of lower extremities with systematic family following up intervention.Methods Totally 164 ASO patients of lower extremities were randomly divided into the control group and the observation group, 82 cases in each group. The control group was given routine discharge health education and following up survey, and the observation group was given systematic family following up intervention measures. The indexes of treatment compliance, incidence rate of complications, and regular referral rate and rehospitalization rate were compared between the two groups after intervention.Results After 6 months intervention, the levels of medication compliance, self monitoring, living habit change and psychological adjustment in the observation group were all higher than those in the control group (P<0.05). The incidence rates of reembolization, infection and ischemia in the observation group were respectively 2.44%, 1.22% and 1.22%, all lower than those in the control group (12.20%, 8.54% and 9.76%, P<0.05). The regular referral rate in the observation group was 82.93%, higher than that in the control group (63.41%, P<0.05). The rehospitalization rate in the observation group was 6.10%, lower than that in the control group (17.07%, P<0.05).Conclusion Systematic family following up intervention for ASO patients of lower extremities could raise treatment compliance after discharge, cut down the incidence rate of complications and the rehospitalization rate, and improve the regular referral rate. It is good for improving the prognosis.

Key words： arteriosclerosis obliteran lower extremity compliance of treatment following up intervention

收稿日期: 2019-03-07

基金资助:恩泽医疗中心（集团）科学研究基金项目（16EZD34）

通讯作者: 张敏,Email:zm13906767359@126.com

引用本文:

张敏,徐媛媛. 系统化家庭随访干预对下肢动脉硬化闭塞症患者出院后治疗依从性的影响[J]. 中国医院统计, 2019, 26(3): 201-203.
Zhang Min, Xu Yuanyuan. Influence of systematic family following up intervention on treatment compliance of arteriosclerosis obliterans patients of lower extremities after discharge. journal1, 2019, 26(3): 201-203.

链接本文:

http://manu58.magtech.com.cn/Jwk_zgyytj/CN/10.3969/j.issn.1006-5253.2019.03.012 或 http://manu58.magtech.com.cn/Jwk_zgyytj/CN/Y2019/V26/I3/201

［1］武雪亮,屈明,薛军,等.下肢动脉硬化闭塞症患者腔内治疗术后支架内再狭窄的原因和治疗进展［J］.中华老年多器官疾病杂志,2018, 17(8): 626-630.

［2］高翀,沈超,周云,等.下肢动脉硬化闭塞症血管腔内治疗进展［J］.血管与腔内血管外科杂志,2017, 3(6): 1086-1089.

［3］陈灏珠,林果为,王吉耀.实用内科学［M］.14 版,北京: 人民卫生出版社,2013: 852 -853.

［4］MEDHEKAR AN, MIX DS, AQUINA CT, et al. Outcomes for critical limb ischemia are driven by lower extremity revascularization volume， not distance to hospital［J］. J Vasc Surg, 2017, 66（2）： 476-487.

［5］KRISHNAN P, TARRICONE A, KRAMA P, et al. Intravascular ultrasound guided directional atherectomy versus directional atherectomy guided by angiography for the treatment of femoropopliteal instent restenosis［J］. Ther Adv Cardiovasc Dis, 2018, 12(1): 17-22.

［6］ARMSTRONG EJ, SAEED H, ALVANDI B, et al. Nitinol selfexpanding stents vs balloon angioplasty for very long femoropopliteal lesions［J］. J Endovasc Ther, 2014, 21(1): 34-43.

［7］田素红,周士琦,牛春华,等.系统化家庭随访对下肢动脉闭塞症介入治疗术患者院外服药依从性的影响［J］.实用临床医药杂志,2014, 18(6): 80-81.

［8］母海蕾,王智文,朱东林,等.护理干预对下肢动脉硬化闭塞症患者术后对比剂肾病发生情况及治疗依从性的影响［J］.现代中西医结合杂志,2017, 26(18): 2041-2043.

［9］NISHINO M, MORI N, TAKIUCHI S, et al. Indications and outcomes of excimer laser coronary atherectomy: efficacy and safety for thrombotic lesionsThe ULTRAMAN registry ［J］. J Cardiol, 2017, 69(1): 314-319.

［10］吴岚,林梅,韩月红.动脉硬化闭塞症介入治疗术后出院患者用药依从性调查［J］.中国医药,2014, 9(2): 221-224.

［11］JONGSMA H, BEKKEN JA, DE VRIES JP, et al. Drugeluting balloon angioplasty versus uncoated balloon angioplasty in patients with femoropopliteal arterial occlusive disease［J］. J Vasc Surg, 2016, 64(5P): 1503-1514.