冠脉介入治疗术后患者用药依从性、自我管理现状及其影响因素研究［摘要］目的研究冠脉介入治疗术后患者用药依从性、自我管理现状及其影响因素。方法采用Morisky-Green测评表对180例支架植入术后8~12个月内患者进行调查，了解患者冠脉介入术后的用药依从性；运用冠心病自我管理行为量表、心理问题筛查问卷、自我管理知识问卷和一般资料调查表，对该患者进行调查，了解该患者的自我管理现状及其影响因素。结果患者用药依从性均较出院时有所降低，其中对氯比格雷的依从性最高(100.00%),而对ACEI/ARB依从性最低(84.44%)。该患者的管理行为量表得分为(80.46±12.10)分，总得分率为59.65%。多因索分析显示自我管理知识、年龄、疾病医学管理知识、文化程度、收入水平、情绪管理知识、是否高特质怒人群以及是否焦虑等因素影响患者的自我管理行为。结论经皮冠状动脉支架植入术后患者用药依从性不理想，患者的口我管理行为处于较低水平，需要临床医生及患者共同关注并努力提高。［关键词］经皮冠状动脉支架植入术；用药依从性；自我管理［中图分类号］R473.5［文献标识码］B［文章编号］1673-9701(2014)31-0124-05Studyonmedicationadherence,self-managementstatusanditsinfluencingfactorsafterpercutaneouscoronaryinterventionMAOSufanglZHAOSuyulZHANGHuihonglZHANGGuohui21.DepartmentofInternalMedicine-CardiovascularofLishuiPeople*sHospitalinZhejiangProvince,Lishui323000,China；2.DepartmentofCardiologyoftheFirstPeopleJsHosptialofZhenjiangCityinJiangsu卩rovince,Zhenjiang212000,China[Abstract]ObjectiveTostudythepatients'medicationcomplianceandseif-managementstatusanditsinfluencingfactorsafterthecoronaryarteryinterventionsurgery.MethodsTheMorisky-Greenevaluationformwasusedtoinvestigate180patientsinthe8thto12thmonthafterthestentii叩lantationsurgeryinordertounderstandtheirmedicationcomplianceafterthecoronaryarteryinterventionsurgery.These1f-managementbehaviorscale,psychologicalproblemsscreeningquestionnaire,self-managementknowledgequestionnaireandgeneralinformationquestionnaireforcoronaryheartdiseasewereusedtoinvestigatethepatientsinordertounderstandtheirself-managementstatusanditsinfluencingfactorSeResultsThepatients，medicationcomplianceallreducedcomparedtothatatdischargefromhospital,ofwhichthecompliancetoclopidogrelwasthehighest(100.00%)andthecompliancetoACET/ARBwasthe1owest(84.44%)・Thepatients'managementbehaviorscalescorewas(80.46±12.10)pointsandthetotalscoringratewas59.65%.Multivariateanalysisshowedthatseif-managementknowledge,age,medicalmanagementknowledgeofdiseases,educationallevel,incomelevel,emotionmanagementlevel,whetherhightraitangerpopulationornotandwhetheranxiousornotwereinfluencingfactorsofthepatients'self-managementbehavior・ConelusionAfterthepercutaneouscoronarystentimplantationsurgery,thepatients?medicationcomplianceisnot,idealandtheirseif-managementbehaviorisatalowlevel,socliniciansandpatientsneedtopayjointattentionandendeavortoimprove・[Keywords]Percutaneouscoronarystentimpl且ntation；Medic且tioncompliance；Seif-management经皮冠状动脉介入治疗术(percutaneouscoronaryintervention,PCI)后需规律服用抗血小板药物邙可司匹林联合氯毗格雷)、卩-受体阻滞剂、他汀类药物、血管紧张素转换酶抑制剂/血管紧张素受体阻断剂等药物以防止支架内再狭窄的发生以及降低心血管不良事件[1],且PCI术后患者需改变不良的生活习惯，减少可能发生心血管不良事件的危险因素，故PCI术后患者是否规律服药及能否承担自我管理成为医师所关注的重点。本研究旨在调查PCI术后8~12个月患者用药依从性的现状及患者的口我管理行为水平及其相关影响因素，以指导临床治疗，减少PCI术后患者的心血管不良事件的发生。1资料与方法1.1一般资料随机...