专科医生电话督导随访在冠心病治疗中的作用

Effects of telephone guidance by specialist on the compliance of patients with stable coronary heart disease

摘要:

目的：观察专科医生电话督导随访能否提高稳定性冠心病患者治疗依从性、减少心血管事件的发生。方法：入选稳定性冠心病患者200例，随机分为电话督导随访组100例和对照组100例。电话督导随访组每两月由心内科专科医生电话督导患者治疗及门诊随访。观察指标：健康生活方式的依从率、标准药物的治疗率、心血管事件发生率及患者满意度。结果：专科医生电话督导随访组健康生活方式的依从率、标准药物的治疗率及患者满意度明显高于对照组（P＜0.05）。电话督导随访组的事件发生率（包括心肌梗塞、再入院率、再次血运重建、心脏原因死亡）显著低于对照组（P＜0.05）。结论：专科医生电话督导随访可更好地使稳定性冠心病患者依从健康生活方式和标准化的药物治疗方案，减少心血管事件的发生。

Abstract:

Objective：To observe whether telephone guidance by specialists can improve the efficacy of the treatment for stable coronary heart disease or can reduce incidence of major cardiovascular events. Methods：Totally 200 patients with stable coronary heart disease were divided into telephone guidance group（n=100） and control group（n=100）. Patients in telephone guidance group re－ceived the specialists’ telephone guidance every 2 months. Indicators included the compliance of healthy life style，rate of taking cura－tive standard medicines，major cardiovascular events and patients’satisfaction degree. Results：Patient’s compliance of healthy life style，rate of taking curative standard medicines and patients’satisfaction degree were all higher in telephone guidance group than in control group（P＜0.05），but incidences of major cardiovascular events（myocardial infarction，readmission，revascularization of coro－nary artery，cardiac death） were lower in telephone guidance group than in control group（P<0.05）. Conclusions：Telephone guidance by specialists can improve the efficacy of the treatment for stable coronary heart disease and reduce incidence of major cardiovascular events.