Investigation on the present status of the secondary-prevention knowledge and behavior among patients with coronary artery disease in outer suburbs after discharge

目的 探讨远郊区县冠心病患者出院后二级预防知识掌握和行为执行情况.方法 选取101例远郊区县冠心病出院患者为研究对象,采用自设问卷对其在预防知识及预防行为方面进行电话调查,结果与关于三级甲等医院患者相同研究的研究结果进行比较并分析相关因素.结果 本组二级预防知识得分为(81.5±8.3)分,行为得分为(63.1±17.8)分,分别低于许丽敏等研究结果(88.6±6.6),(86.7±6.2)分,差异均具有统计学意义(t=8.562,13.311；P ＜0.05)；二级预防知识正确率最高99.0％为“避免情绪激动保持心态平和有助于心脏康复”,最低3.9％为“会利用简单的公式计算及判断自身体重是否超标”；二级预防行为达标率最高84.2％为“按照医嘱要求的次数服药”,最低19.8％为“每年注射流感疫苗”；文化程度越高二级预防知识得分越高,差异具有统计学意义(F=4.480,P＜0.05)；农村患者的二级预防知识得分(78.3±8.4)及二级预防行为得分(59.3±17.5)均低于城镇患者得分(84.3±7.3),(66.4±17.5)分,差异均具有统计学意义(t分别为3.899,2.055；P ＜0.05).采取介入治疗及介入治疗后规律服用抗血小板聚集药物氯吡格雷的患者二级预防行为得分分别为(70.9±15.3),(72.5±14.3)分均高于未采取介入治疗患者及未规律服用抗血小板聚集药物氯吡格雷的患者(58.5±17.7),(52.2±16.7)分,差异均具有统计学意义(t分别为3.610,2.342;P ＜0.05).本组93.1％的患者二级预防知识来源于住院时医务人员,3.0％患者知识来源于社区医院医务人员.结论 文化程度和居住地是造成远郊区县冠心病患者二级预防情况较差的主要原因,不断完善社区医院的专业能力和水平才能给不同年龄、不同区域的冠心病患者带来切实的利益和方便.Objective To investigate the present status of the secondary-prevention knowledge and behavior among patients with coronary artery disease in outer suburbs after discharge.Methods Telephone interview and was self-designed questionnaire complimented to survey the condition of secondary prevention knowledge and behavior of 101 patients in outer suburbs.Data was compared with those reported by Xu limin et al and the related factors was analyzed.Results The mean of knowledge score was ( 81.5 ± 8.3 ),and the mean of behavior score was (63.1 ± 17.8) ; the scores were lower than those reported by Xuliming [ ( 88.6 ± 6.6) and ( 86.7±6.2 ) ; t =8.562,1 3.311,respectively ; P ＜ 0.05 ].The highest correct rate was 99.0％ in “avoiding rage keeping mind peace and good for cardinal recovery ” and the lowest rate was 3.9％ in “using simple math formula to evaluate the weight” ; highest behavior passing rate of secondary prevention was 84.2％ in “taking pill according to the doctors information” and the lowest was 19.8％ in “injection vaccine of flu” ;secondary prevention knowledge was positive correlated with education level ( F =4.480,P ＜ 0.05 ) ; knowledge score was ( 78.3 ± 8.4 ) and behavior score was (59.3 ± 17.5 ) in rural area and those were lower than those in the town [ (84.3 ± 7.3 ) and ( 66.4 ± 17.5) ; t =3.899,2.055;P ＜ 0.05 ].Interventionary therapy and taking medicine regularly score was (70.9 ± 15.3) and (72.5 ± 14.3),and higher than those in non-intervention and taking medicine non-regularly [ (58.5 ± 17.7) and ( 52.2 ± 16.7) ; t =3.610,2.342,respectively;P ＜0.05 ].93.1％ knowledge stem from doctor in hospital and 3.0％ knowledge stem from community doctors.Conclusions The primary reasons that resulted in little coronary artery disease secondary-prevention knowledge were education and habitation.We need improve the professional capability of community hospitals to bring benefit and comfort for the patients with different ages,different regions.中国科技核心期刊(ISTIC)06629-6321