Investigation on compliance of anti-platelet therapy after coronary stent implantation
10.3760/cma.j.issn.1674-2907.2011.27.005
- VernacularTitle:冠脉支架置入术后患者服用抗血小板药物依从性调查
- Author:
Ling-Ling GAO
1
;
Jing-Peng YAO
;
Yi-Mei ZHENG
Author Information
1. 北京大学第一医院
- Keywords:
After stent implantation;
Anti-platelet therapy;
Compliance;
Relative factors;
Education
- From:
Chinese Journal of Modern Nursing
2011;17(27):3239-3242
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore compliance of anti-platelet therapy of patients after coronary stent implantation and relative factors. Methods 75 patients after coronary stent implantation were investigated by APGAR and drug compliance evaluation scale. Results 44.0 % of patients (n =33) failed to take anti-platelet drugs exactly following the prescription, the main form is omitting to take anti-platelet drugs (28.0%). The total score of understanding about antiplatelet medication knowledge in 75 patients was (26.36 ± 2.85 ), they took not much knowledge about antiplatelet druys' side effects and adverse consequences. The median adherence score of compliamce of antiplatelet drugs was 15.61. Fully accounted for 56.0%. The main non-complicance behavior was missed 28.0%. Different time of stent placement, antiplatelet druy type, duration of patient understanding of medication and medication compliance in patients with family functioning were statistically significant differences ( P < 0. 05 ) ; Medication compliance and stent placement time was negatively correlated (r =-0. 304,P < 0. 01 ), and duration of antiplatelet drug use to understand the situation, family functioning was positively correlated (r =0. 259,0. 266 ; P < 0. 05 ). Conclusions The rate of good compliance of antiplatelet therapy of patients after stent implantation is much lower. Nurses should emphasize the education about anti-platelet therapy and start family support system in order to improve the compliance of anti-platelet therapy.