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过渡性健康管理对经皮冠状动脉介入治疗老年急性心肌梗死患者依从性及预后的影响：一项整群随机对照试验。

Effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction in percutaneous coronary intervention: A cluster randomized controlled trial.

机构信息

Nursing Department, The First Affiliated Hospital of Soochow University, Suzhou, China.

Department of Radiotherapy, The First Affiliated Hospital of Soochow University, Suzhou, China.

出版信息

PLoS One. 2019 May 31;14(5):e0217535. doi: 10.1371/journal.pone.0217535. eCollection 2019.

DOI:10.1371/journal.pone.0217535
PMID:31150451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6544260/
Abstract

PURPOSE

This study aimed to assess the effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction undergoing percutaneous coronary intervention.

METHODS

We conducted the trial from June 2016 to December 2016. A total of one hundred and fifty patients with acute myocardial infarction after PCI who met the inclusion criteria were randomly divided into an experimental (n = 75) group and a control (n = 75) group. The participants in the experimental group received transitional health management for three months. The two groups of patients were evaluated for treatment adherence, quality of life, clinical indicators, adverse cardiovascular events and statistics regarding readmission rates at baseline and 6 months after discharge.

RESULTS

Compared with the controls, patients in the intervention group demonstrated better medication adherence, reexamination adherence, healthy lifestyle and clinical indicators (all P<0.05) and lower rates of adverse cardiovascular events and readmission (all P<0.05).

CONCLUSION

Transitional health management effectively improved adherence in elderly patients with acute myocardial infarction after PCI, ameliorated clinical indicators, and effectively reduced the incidence of adverse cardiovascular events and readmission rates. Transitional health management was an effective intervention for PCI patients after discharge.

摘要

目的

本研究旨在评估过渡性健康管理对行经皮冠状动脉介入治疗的老年急性心肌梗死患者依从性和预后的影响。

方法

本试验于 2016 年 6 月至 2016 年 12 月进行。共纳入 150 例符合纳入标准的急性心肌梗死后行经皮冠状动脉介入治疗的患者，随机分为实验组（n=75）和对照组（n=75）。实验组患者接受为期 3 个月的过渡性健康管理。在基线和出院后 6 个月，对两组患者的治疗依从性、生活质量、临床指标、不良心血管事件和再入院率进行评估。

结果

与对照组相比，干预组患者的药物依从性、复查依从性、健康生活方式和临床指标均较好（均 P<0.05），不良心血管事件和再入院率较低（均 P<0.05）。

结论

过渡性健康管理可有效提高老年急性心肌梗死后经皮冠状动脉介入治疗患者的依从性，改善临床指标，有效降低不良心血管事件和再入院率。过渡性健康管理是一种有效的经皮冠状动脉介入治疗后出院患者的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b7/6544260/be94520371a6/pone.0217535.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b7/6544260/40a0013f78d5/pone.0217535.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b7/6544260/be94520371a6/pone.0217535.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b7/6544260/40a0013f78d5/pone.0217535.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b7/6544260/be94520371a6/pone.0217535.g002.jpg

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