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| Investigation on short-term compliance and influencing factors of young and middle-aged discharged patients with coronary heart disease |
| CUI Jianguo, XU Wenwen, ZHANG Qingtan, MI Baobin, MA Hui, YAN Xiaohong, QI Jie |
| Department of Geriatrics,Binzhou Medical University Hospital,Binzhou 256603,P.R.China |
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Abstract Objective To investigate the current status of short-term treatment compliance and related factors in young and middle-aged patients with coronary heart disease (CHD).Methods A total of 258 young and middle-aged patients with coronary heart disease were followed up 6 months. Questionnaires were carried out to assess general conditions,social supports, medication compliance, etc. The relationship between above indexes and treatment compliance status were analyzed.Results 102 patients were with better treatment adherence and 156 patients with poorer. The single factor analysis showed that the compliance of the patients with coronary heart disease was significantly related to the monthly per capita income, the education level, the knowledge of coronary heart disease,and the social support.The incidence of major adverse cardiovascular events (MACE) in patients with poor compliance was significantly higher than that in patients with good compliance. Multivariate logistic regression analysis showed that the low score knowledge of CAD , poor social support and low per capita income were the independent factors that led to the poor compliance of the middle-aged and young patients with coronary heart disease.Conclusion The short-term treatment compliance of young and middle-aged patients with coronary heart disease after discharge was not optimistic. Cognition and knowledge of coronary heart disease,social support and family per capita income were independent factors that affect the treatment compliance of young and middle-aged patients with coronary heart disease.
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Received: 05 May 2018
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