Prescription and influencing factors of secondary prevention medication for patients with acute coronary syndrome
10.3760/cma.j.issn.1674-2907.2013.14.006
- VernacularTitle:急性冠状动脉综合征患者二级预防用药现状及影响因素分析
- Author:
Meng YU
1
;
Shu DING
;
Ying WU
Author Information
1. 首都医科大学护理学院
- Keywords:
Acute coronary syndrome;
Secondary prevention;
Medication usage;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2013;19(14):1628-1632
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate prescriptions,usage and influencing factors of the secondary prevention medication for patients with acute coronary syndrome (ACS) in six months after discharge.Methods Totals of 102 patients with ACS were documented and analyzed,and followed up by phone for six months.According to the prescriptions during six months after discharge,they were divided into the users and non-users,and influencing factors were analyzed.Results Drug-prescribing rates of antiplatelet drugs,β-blockers,ACEI/ARB,and statins were respectively 96.1％,67.6％,53.9％ and 83.3％ at discharge,94.1％,48％,43.1％ and 78.4％ in three months,88.2％,43.1％,33.3％ and 75.5％ in six months.At discharge,whether doctor had prescribed β-blockers and statins was affected by income and history of hyperlipidemia,and prescription of ACEI/ARB only related with history of hypertension.After three months,prescription of ACEI/ARB related with history of hypertension,and statins was affected by history of drinking and hypertension.After six months,antiplatelet drug prescription was impacted by disease diagnosis and implanted stents during this hospitalization or not,β-blocker was associated with BMI and history of PCI,ACEI/ARB was related with family history of cardiovascular disease and history of hypertension,and statins was related with history of implanted stents.Drug-taking rates of antiplatelet drugs,β-blockers,ACEI/ARB,and statins were respectively 87.3％,41.2％,19.6％ and 68.6％.And antiplatelet drugs,beta-blockers and statins,drug usage in 6-month were affected by whether doctor had prescribed these medication in six month after discharge.Conclusions During 6 months of follow-up,drug-prescribing rates of β-blockers and ACEI/ARB were decreased,as well as the medication compliance of ACEI/ARB,and drug-prescribing and taking rates of ACEI/ARB were the lowest.
