Department of Health Promotion, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.
Department of Cardiology and Internal Diseases, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
Cardiol J. 2022;29(4):582-590. doi: 10.5603/CJ.a2020.0005. Epub 2020 Feb 10.
The healthcare professionals involved in in-hospital treatment of myocardial infarction (MI) are also responsible to patients for their education before leaving the hospital. This education aims to modify patient behaviour in order to reduce relevant risk factors and improve self-control and adherence to medications. The aim of the study was to analyse the relationship between readiness for discharge from hospital and adherence to treatment at follow-up in MI patients.
An observational, single-center, MI cohort study with 6-month follow-up was conducted between May 2015 and July 2016. The Readiness for Hospital Discharge after Myocardial Infarction Scale (RHD-MIS) and the Adherence in Chronic Diseases Scale (ACDS) were applied.
Two hundred and thirteen patients aged 30-91 years (62.91 ± 11.26) were enrolled in the study. The RHD-MIS general score ranged from 29 to 69 points (51.16 ± 9.87). A high level of readiness was found in 66 patients (31%), intermediate in 92 (43.2%), and low in 55 (25.8%) of patients. Adherence level assessed with the ACDS 6-months after discharge from hospital ranged from 7 to 28 points (23.34 ± 4.06). An increase in objective assessment of patient knowledge according to RHD-MIS subscale resulted in significantly higher level of adherence at the follow-up visit (p = 0.0154); R Spearman = 0.16671, p = 0.015; p for trend = 0.005. During the 6-month follow-up 3 (1.41%) patients died and 17 (7.98%) were hospitalized for a subsequent acute coronary syndrome.
This study provided preliminary evidence of a long-term association between the results of assessment of readiness for discharge from hospital and adherence to treatment in patients after MI.
参与院内心肌梗死（MI）治疗的医疗保健专业人员也有责任在患者出院前对其进行教育。这种教育旨在改变患者的行为，以减少相关的危险因素，提高自我控制和药物治疗的依从性。本研究旨在分析 MI 患者出院准备情况与随访时治疗依从性之间的关系。
这是一项观察性、单中心、MI 队列研究，随访时间为 6 个月，于 2015 年 5 月至 2016 年 7 月进行。应用心肌梗死后出院准备量表（RHD-MIS）和慢性病遵医嘱量表（ACDS）进行评估。
本研究共纳入 213 名年龄在 30-91 岁（62.91 ± 11.26）的患者。RHD-MIS 总评分范围为 29-69 分（51.16 ± 9.87）。结果显示，有 66 名（31%）患者准备程度高，92 名（43.2%）患者准备程度中等，55 名（25.8%）患者准备程度低。出院后 6 个月，根据 ACDS 评估的依从水平为 7-28 分（23.34 ± 4.06）。RHD-MIS 亚量表的患者知识客观评估结果增加，与随访时的依从水平显著相关（p = 0.0154）；R Spearman = 0.16671，p = 0.015；p 趋势= 0.005。在 6 个月的随访期间，有 3 名（1.41%）患者死亡，17 名（7.98%）因后续急性冠状动脉综合征再次住院。
本研究初步证明了 MI 患者出院准备情况评估结果与随访时治疗依从性之间存在长期关联。
