老年脑梗死患者脑血管介入治疗后抗血小板治疗依从性的相关影响因素分析

Analysis of related influencing factors of compliance with antiplatelet therapy in elderly patients with cerebral infarction after cerebrovascular interventional therapy

中文关键词: 老年  脑梗死  抗血小板治疗  用药依从性  相关因素

英文关键词: elderly  cerebral infarction  antiplatelet therapy  medication compliance  related factor

中文摘要:

      目的 探究老年脑梗死脑血管介入治疗后抗血小板治疗依从性的相关因素.方法 回顾性分析2021年1月-2022年12月成都医学院第二附属医院·核工业四一六医院收治的行脑血管介入治疗的191例老年脑梗死患者临床资料,调查患者术后抗血小板治疗依从性,根据治疗依从性将患者分为高依从性组和低依从性组,采用单因素和多因素Logistic回归分析老年脑梗死脑血管介入治疗后抗血小板治疗依从性相关因素.结果 191例脑血管介入治疗的老年脑梗死患者中72.77％(139/191)为高依从性组,27.23％(52/191)为低依从性组;Logistics回归分析显示,年龄、文化程度、医疗支付方式、医疗服务质量、家属提醒服药、认知功能、日常生活能力、神经功能缺损、肢体活动能力是老年脑梗死脑血管介入治疗后抗血小板治疗依从性的独立危险因素(均P＜0.05).结论 老年脑梗死脑血管介入治疗后抗血小板治疗依从性有待提升,用药依从性受多种因素影响,采取针对性干预措施可提高患者用药依从性.

英文摘要:

      Objective To explore the related factors of compliance with antiplatelet therapy in elderly patients with cer-ebral infarction after cerebrovascular interventional therapy.Methods The clinical data of 191 elderly cerebral infarction pa-tients who underwent cerebrovascular interventional therapy in Second Affiliated Hospital of Chengdu Medical College/416 Hospital of Nuclear Industry from January 2021 to December 2022 were retrospectively analyzed.Their compliance with postop-erative antiplatelet therapy was investigated.According to their treatment compliance,they were divided into high compliance group and low compliance group.Univariate and multivariate Logistic regression analyses were used to analyze the related fac-tors of compliance with antiplatelet therapy after cerebrovascular interventional therapy in elderly patients with cerebral infarc-tion.Results Among 191 elderly patients with cerebral infarction who received cerebrovascular interventional therapy,72.77％(139/191)were included in the high compliance group and 27.23％(52/191)in the low compliance group.Logistic regression analysis showed that age,educational level,medical payment method,quality of medical services,reminders from family members to take medication,cognitive function,daily living ability,neurological deficits,and physical activity ability were independent risk factors for the compliance with antiplatelet therapy in elderly patients with cerebral infarction after cere-bral vascular intervention therapy(P＜0.05).Conclusion The compliance with antiplatelet therapy in elderly patients with cerebral infarction after cerebrovascular interventional therapy needs to be improved.Their medication compliance is affected by many factors,and targeted intervention measures can improve their medication compliance.