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目的:分析老年冠心病患者服用抗血小板药物的依从性,寻求护理干预的有效途径。方法:自行设计服用抗血小板药物依从性调查表,通过调查与健康教育相结合的方式,对128例年龄在68~95岁的老年冠心病患者服药依从性问题进行调查分析。结果:通过临床医师知道抗血小板药物作用的占100%;知道终身服用抗血小板药物意义的占35%;服用抗血小板药物遇到问题而自行停药的占0%;健康教育后能坚持终身服用抗血小板药物的占95%。结论:相对于老年冠心病患者,有效的健康教育能极大地提高患者服药依从性。临床医护人员对患者进行健康教育的同时,对家属的教育也很重要。通过健康教育干预,使其掌握药物的基本知识,告知获益大于风险,启动家庭支持系统,可显著提高老年冠心病患者服用抗血小板药物依从性。
OBJECTIVE: To analyze the compliance of antiplatelet drugs in elderly patients with coronary heart disease and to find an effective way of nursing intervention. Methods: According to the self-designed questionnaire of antiplatelet drug compliance, the compliance of medication in 128 elderly patients aged 68-95 years with coronary heart disease was investigated through investigation and health education. Results: 100% knew that antiplatelet drugs were used by clinicians; 35% knew lifelong use of antiplatelet drugs; 0% stopped taking antiplatelet drugs if they encountered problems; and could take lifelong use after health education Anti-platelet drugs accounted for 95%. CONCLUSIONS: Effective health education can significantly improve patient adherence relative to elderly patients with coronary artery disease. Health care education for patients at the same time, the education of family members is also very important. Through health education intervention, to master the basic knowledge of drugs, to inform the benefits outweigh the risks and start home support system, can significantly improve the elderly with coronary heart disease patients taking antiplatelet drug compliance.