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急性冠脉综合征患者出院后抗血小板和他汀类药物治疗的依从性

[Adherence to antiplatelet and statin therapy by patients with acute coronary syndrome following discharge].

作者信息

Batista Santos Vinicius, Lima Silva Leticia, Guizilini Solange, Begot Valente Isis, Bublitz Barbosa Caroline, Batistalto Carneiro Talyta Augusta, Lopes Moreira Rita Simone

机构信息

Nurse, PhD in Science, Adjunct Professor at Nursing Paulista School, Federal University of São Paulo, São Paulo, Brasil.

Nurse, Cardiology Specialist, São Paulo, Brasil.

出版信息

Enferm Clin (Engl Ed). 2022 Mar-Apr;32(2):115-122. doi: 10.1016/j.enfcle.2020.02.005.

Abstract

OBJECTIVE

To assess levels of medication adherence to antiplatelet and statins therapy among acute coronary syndrome (ACS) patients 30 days after hospital discharge and identify the main barriers to medication adherence and the main sociodemographic and clinical variables associated with treatment adherence.

METHOD

This was a quantitative longitudinal study. Patients admitted to hospital with ACS were included. Initially, data collection was conducted using a semi-structured interview during the hospital stay. Thirty days after hospital discharge, the Brief Medication Questionnaire was applied by phone to assess treatment adherence. Descriptive statistics were used and tests were applied to analyze the association between medication adherence and clinical and sociodemographic data.

RESULTS

One hundred and sixty-two patients were assessed. The Brief Medication Questionnaire test showed that 49.3% presented probable low adherence to treatment. Marital status, household income and alcohol intake showed an association with medication adherence.

CONCLUSIONS

The findings of the present study indicate high rates of probable nonadherence to medication among ACS patients 30 days after hospital discharge, this information could help nurses to choose specific nursing interventions that could improve adherence in patients' daily routines.

摘要

目的

评估急性冠状动脉综合征(ACS)患者出院30天后抗血小板和他汀类药物治疗的依从性水平,确定药物依从性的主要障碍以及与治疗依从性相关的主要社会人口统计学和临床变量。

方法

这是一项定量纵向研究。纳入因ACS入院的患者。最初,在住院期间通过半结构化访谈收集数据。出院30天后,通过电话应用简短药物问卷评估治疗依从性。使用描述性统计方法并进行检验以分析药物依从性与临床及社会人口统计学数据之间的关联。

结果

共评估了162例患者。简短药物问卷测试显示,49.3%的患者可能对治疗依从性较低。婚姻状况、家庭收入和酒精摄入量与药物依从性有关。

结论

本研究结果表明,ACS患者出院30天后可能存在较高的药物不依从率,这些信息有助于护士选择特定的护理干预措施,以提高患者日常生活中的依从性。

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