首页|家庭医生团队模式干预对冠心病患者用药依从性和LDL-C达标率的影响

家庭医生团队模式干预对冠心病患者用药依从性和LDL-C达标率的影响

扫码查看
目的:探索家庭医生团队干预对CAD患者用药依从性和LDL-C达标的影响.方法:采集2021年6月-8月社区574例CAD患者,平均年龄(73.0±6.2)岁,对照组和研究组各287例.研究采用随机双盲对照方法.对照组采用传统门诊方式对患者进行诊疗、用药建议与宣教,研究组采用家庭团队模式对CAD患者重点管理.分析患者抗血小板、降脂类药物使用依从性和影响因素以及LDL-C达标率.结果:多因素Logistic回归分析结果显示,高龄、初中及以下文化程度是CAD患者未使用抗血小板药物的独立危险因素,PCI/CABG史是CAD患者未使用抗血小板药物的保护因素(均P<0.05);女性、高龄、超重是CAD患者未使用降脂类药物的独立危险因素,糖尿病史和PCI/CABG史是CAD患者未使用降脂类药物的保护因素(均P<0.05).研究组患者的抗血小板和降脂药物使用率和LDL-C达标率均高于对照组(P<0.05).结论:通过家庭医生团队模式进行干预管理,能有效提高社区CAD患者用药依从性和LDL-C的达标率.
Effect of family doctor team mode on medication compliance and low density lipoprotein cholesterol compliance rate of the patients with coronary heart disease
Objective:To explore the influence of family doctor team intervention on medication compliance and low density lipoprotein cholesterol(LDL-C)compliance rate in patients with coronary artery disease(CAD).Methods:Five hundred and seventy-four CAD patients were collected from June to August 2021,and their average age was(73.0±6.2)years,the control group and the research group had 287 cases,respectively.The study used a randomized double blind controlled method.The control group was treated with traditional outpatient method,medication advice and education,and the research group adopted the family team mode to focus management of the patients with CAD.Antiplatelet,compliance with the use of lipid-lowering drugs and influence factors,and LDL-C compliance rate were compared.Results:Multivariate logistic regression analysis results showed that advanced age,education level at junior high school,and below were the independent influencing factors for not using antiplatelet drugs,PCI/CABG history was the protective factor for not using antiplatelet drugs(P<0.05);female,advanced age and overweight were independent risk factors for not receiving lipid-lowering drugs,history of diabetes,and PCI/CABG history were the protective factor for not use lipid-lowering drugs(P<0.05).The usage rate of antiplatelet and lipid-lowering drugs and the LDL-C compliance rate of the patients in the research group were higher than those in the control group(P<0.05).Conclusion:Intervention and management by family doctor team mode can effectively improve patients'medication compliance and LDL-C compliance rate.

coronary artery diseasefamily doctor team modeantiplateletlipid-lowering therapy

徐佶佶、范虞琪、赵凯、高磊、陈梅艳、刘利

展开 >

上海市宝山区淞南镇社区卫生服务中心全科,上海 200441

上海交通大学医学院附属第九人民医院心内科,上海 2000112

上海市宝山区淞南镇社区卫生服务中心护理部,上海 200441

冠心病 家庭医生团队模式 抗血小板 降脂治疗

上海市宝山区医学重点学(专)科及特色品牌建设项目上海市宝山区科委科技创新项目上海市中西医学会社区医学与健康管理研究项目

BSZK-2023-T0419-E-152021-49

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(2)
  • 4