OBJECTIVE:To investigate the effects of pharmaceutical intervention after discharge on medication compliance and prognosis of patients with coronary artery disease after percutaneous coronary intervention(PCI) in primary hospital.METHODS:One hundred and eighty patients with coronary artery disease selected from our hospital after PCI during Jan.2012 to May 2015 were divided into test group and control group according to whether the patients received pharmaceutical intervention after discharge,with 90 cases in each group.Control group received conventional pharmaceutical care and discharge education.Test group additionally received pharmaceutical intervention (pharmaceutical service files,telephone follow-up,patient education,etc.) after discharge.Medication compliance and occurrence of cardiovascular events were compared between 2 groups in 1 year after discharge.RESULTS:Within 1 year after discharge,the proportion of patients showing good compliance in test group was higher than control group,the proportion of patients showing partial and non compliance in test group were lower than control group;the inci dence of heart failure and repeated revascularization,hospitalization mortality and total mortality of test group were significantly lower than control group,with statistical significance (P＜0.05).CONCLUSIONS:Pharmaceutical intervention after discharge can improve the medication compliance of coronary artery disease patients after PCI in primary hospital,reduce the occurrence of cardiovascular events and improve the clinical prognosis.

Objective:To construct a standardized management plan for early postoperative activities in elderly patients with intertrochanteric fractures, and to explore its effect.Methods:Based on the literature, a standardized management plan for early postoperative activities in elderly patients with intertrochanteric fractures was constructed. Convenience sampling was used to select 162 elderly patients who underwent surgical treatment of intertrochanteric fractures in the Department of Orthopedics, People 's Hospital of Zhengzhou from September 2020 to August 2021. According to the random number table method, the patients were divided into the control group and the observation group, with 81 cases in each group. The control group was given routine postoperative nursing, and the observation group received a standardized management plan for early postoperative activities based on routine postoperative nursing. The postoperative hospital stay, total hospital stay, lower extremity functional recovery, daily living ability and complications were compared between the two groups. Results:The postoperative hospital stay, total hospital stay, postoperative first out-of-bed time and independent walking time in the observation group were all shorter than those in the control group, and the lower extremity function score one week after surgery and the daily living ability score two weeks after surgery in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . The incidence of pulmonary infection and the total incidence of complications in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The standardized management plan for early postoperative activities can effectively shorten the hospitalization time of elderly patients with intertrochanteric fractures, and is helpful for early postoperative mobilization and rapid recovery of joint function and daily living ability.