汪菁峰, 梁义秀, 陈海燕, 陈学颖, 王蔚, 柏瑾, 宿燕岗, 沈军, 葛均波. 科普教育对患者植入式心脏电子装置使用的依从性和术后并发症的影响[J]. 上海预防医学, 2019, 31(10): 856-860. DOI: 10.19428/j.cnki.sjpm.2019.19624
引用本文: 汪菁峰, 梁义秀, 陈海燕, 陈学颖, 王蔚, 柏瑾, 宿燕岗, 沈军, 葛均波. 科普教育对患者植入式心脏电子装置使用的依从性和术后并发症的影响[J]. 上海预防医学, 2019, 31(10): 856-860. DOI: 10.19428/j.cnki.sjpm.2019.19624
shu
WANG Jing-feng, LIANG Yi-xiu, CHEN Hai-yan, CHEN Xue-ying, WANG Wei, BAI Jin, SU Yan-gang, SHEN Jun, GE Jun-bo. Science education effect on patient′s compliance and complication after cardiac electronic device implantation[J]. Shanghai Journal of Preventive Medicine, 2019, 31(10): 856-860. DOI: 10.19428/j.cnki.sjpm.2019.19624
Citation: WANG Jing-feng, LIANG Yi-xiu, CHEN Hai-yan, CHEN Xue-ying, WANG Wei, BAI Jin, SU Yan-gang, SHEN Jun, GE Jun-bo. Science education effect on patient′s compliance and complication after cardiac electronic device implantation[J]. Shanghai Journal of Preventive Medicine, 2019, 31(10): 856-860. DOI: 10.19428/j.cnki.sjpm.2019.19624
shu

科普教育对患者植入式心脏电子装置使用的依从性和术后并发症的影响

Science education effect on patient′s compliance and complication after cardiac electronic device implantation

    摘要
  • 摘要:
    目的探讨科普宣教活动在植入式心脏电子装置(CIED)疗法中的应用及效果评价。
    方法连续收集2018年1月至2019年2月于复旦大学附属中山医院就诊，符合CIED植入适应证，以及按医嘱植入相应器械的患者，按时间先后分为对照组(639例)和试验组(653例)。对照组采用传统的医患沟通及健康宣教，试验组通过科普宣传册、科普微视频及微信公众号等方式加强对CIED植入患者的宣教与管理，比较两组患者的遵医程度及术后相关并发症的发生率。
    结果试验组CIED植入依从性(89.4%)和随访依从性(92.4%)分别高于对照组(81.3%，87.6%)，差异均有统计学意义(P < 0.01)；试验组术后电极脱位发生率(0.7%)和囊袋血肿发生率(1.4%)分别低于对照组(2.1%、3.4%), 差异均有统计学意义(P < 0.05)；试验组接受ICD或CRT疗法的患者术后6个月内再住院率(7.4%)亦低于对照组(16.7%), 差异有统计学意义(P < 0.05)。
    结论加强科普宣教可促进CIED植入患者的遵医行为，减少术后并发症和再住院率，具有很好的医疗社会价值。

     

    Abstract:
    ObjectiveTo investigate application and effect evaluation of popular science education in cardiac implantable electronic device (CIED) therapy.
    MethodsFrom Jan 2018 to Feb 2019, patients with indication for CIED implantation and those implanted with appropriate device were included and devided into control group (639 cases) and intervention group(653 cases).Patients of the control group received conventional health education and doctor-patient communication; while patients in the intervention group were instructed by means of popular pamphlets, micro-videos, and WeChat public account.Then, medical compliance and post-operative complications were compared between these two groups.
    ResultsBoth the implantation (89.4% vs.81.3%, P < 0.01) and follow-up (92.4% vs.87.6%, P < 0.01) compliances were significantly higher in the intervention group than those of the control group.A significantly lower incidence of lead dislodgement (0.7% vs.2.1%, P < 0.05) and pocket hematoma (1.4% vs.3.4%, P < 0.05) were observed in the intervention group compared with the control group.Besides, the intervention group also showed an obviously lower readmission rate for ICD and CRT recipients within 6-month follow-up (7.4% vs.16.7%, P < 0.05).
    ConclusionIt is concluded that health education and information dissemination for patients help to enhance their medical compliance of CIED therapy, reduce post-operative complications and readmission rate, which has great medical and social value.

     

    • HTML全文
    • 参考文献(9)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回