首页|比较不同年龄段急性心肌梗死患者介入治疗术后心理状态和服药依从性差异

比较不同年龄段急性心肌梗死患者介入治疗术后心理状态和服药依从性差异

Comparison of Differences in Psychological Status and Medication Adherence among Patients with Acute Myocardial Infarction in Different Age Groups after Interventional Treatment

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目的:探讨急性心肌梗死(AMI)不同年龄段患者实施经皮冠状动脉介入术(PCI)治疗后的心理状态以及服药依从性情况.方法:选取2021年7月到2022年6月接收的AMI患者213例为研究对象,根据患者年龄段不同分成青年组(n=84)、中年组(n=61)、老年组(n=48)、高龄组(n=20),患者均采取PCI介入治疗方式,出院后对患者进行持续随访,随访6个月.在出院时、出院后6个月比较4组患者的心理状态(SAS、SDS评分)以及出院后6个月的服药依从性情况.结果:4组患者出院后6个月的SAS评分与SDS评分均是较出院时评分下降,而评分降低上,出院6个月的两项评分均是表现为青年组低于中年组,中年组低于老年组,老年组低于高龄组,两两组间相对比差异有统计学意义(P<0.05);出院后6个月对服药依从性的评价情况,依从率上以青年组最高,高龄组最低,差异有统计学意义(P<0.05).结论:对于AMI患者采取PCI介入手术治疗的方式对于患者心理状态改善有帮助,其中随着年龄增加术后心理状态改善程度降低,且青年群体在服药依从性较高,高龄老年的服药依从率较低,应给予对应的指导.
Objective:To explore the psychological status and medication adherence of patients with acute myocardial infarction(AMI)in different age groups after percutaneous coronary intervention(PCI)treatment.Methods:213 AMI patients who were admitted from July 2021 to June 2022 were selected as the study subjects.They were divided into a young group(n=84),a middle-aged group(n=61),an elderly group(n=48),and an elderly group(n=20)according to their age groups.All patients received PCI intervention treatment,and were followed up continuously for 6 months after discharge.Compare the psychological status(SAS,SDS scores)and medication adherence of four groups of patients at discharge and 6 months after discharge.Results:The SAS and SDS scores of the four groups of patients at 6 months after discharge decreased compared to the discharge scores,while the scores decreased significantly.The two scores at 6 months after discharge were lower in the youth group than in the middle-aged group,lower in the middle-aged group than in the elderly group,and lower in the elderly group than in the elderly group.The relative difference between the two groups was statistically significant(P<0.05);The evaluation of medication compliance 6 months after discharge showed that the compliance rate was highest in the youth group and lowest in the elderly group,with a statistically significant difference(P<0.05).Conclusion:PCI intervention surgery is helpful for improving the psychological status of AMI patients.The degree of postoperative psychological improvement decreases with age,and young people have higher medication compliance,while older adults have lower medication compliance.Corresponding guidance should be given.

Acute myocardial infarctionInterventional therapyAge groupPsychological stateMedication compliance

温灵武、何敏、曹方亮

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博罗县人民医院心血管内科(广东惠州 516100)

急性心肌梗死 介入治疗 年龄段 心理状态 服药依从性

惠州市科技计划项目

2021wc0106014

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(4)
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