Sanderson Bonnie K, Thompson Jennifer, Brown Todd M, Tucker M J, Bittner Vera
University Hospital, University of Alabama at Birmingham, Birmingham, Alabama, USA.
J Healthc Qual. 2009 Nov-Dec;31(6):25-33; quiz 34. doi: 10.1111/j.1945-1474.2009.00052.x.
Guidelines for acute myocardial infarction (AMI) include secondary prevention (SP) strategies, but little is known about patients' recall of instructions following hospital discharge. We conducted telephone interviews to assess recall of risk-reduction information among patients discharged with AMI. Results indicated similar proportions of documented and patient recall of discharge instructions. However, lifestyle recommendations were documented and recalled less frequently than pharmacologic therapy. Many patients were unable to name their diagnosis or link known risk factors as contributing causes, which may contribute to low adherence to SP therapies. Quality improvement strategies are needed to guide more effective provider-patient communication.
急性心肌梗死（AMI）指南包括二级预防（SP）策略，但对于患者出院后对医嘱的记忆情况知之甚少。我们进行了电话访谈，以评估AMI出院患者对风险降低信息的记忆情况。结果表明，记录在案的出院医嘱与患者记忆中的医嘱比例相似。然而，生活方式建议的记录和记忆频率低于药物治疗。许多患者无法说出自己的诊断或将已知风险因素与病因联系起来，这可能导致对SP治疗的依从性较低。需要采取质量改进策略来指导更有效的医患沟通。
