| ObjectiveThe research was aimed at studying the effects of health education based onprotection motivation theory (PMT) on the compliance of dual antiplatelet drugs in patientswith AMI（Acute Myocardial Infarction）after PCI（Percutaneous Coronary Intervention），improving patients’ compliance in taking dual antiplatelet drugs which could reducecoronary restenosis and the occurrence of cardiovascular events，and ultimately improvingthe quality of life.MethodsThis study selected the objects from the department of cardiology in the FirstAffiliated Hospital of Soochow University. According to the principle of informed consent,patients were divided into control group and intervention group by convenience samplingmethod. The control group were educated by the regular health education.The interventiongroup were not only educated by the same way as the control group, but also by the specialconsent based on the PMT.The patients in control group were accepted conventional care and follow-up. Thepatients intervention group were provided a piece of paper about health education,established based on the PMT, which the focus was taking medication on time every day,in order to strengthen their drug taking behavior, and informed patients followed up ontime. The follow-up phone calls of3months after hospital discharge is biweekly, once amonth from the4th month, until12th month. Two groups were compared at the baseline,3th month,6th month and12th month with the scores of patients’ the Morisky Medication Adherence Scale, the scores of Questionnaire of taking dual antiplatelet drug based onPMT, and the patient’s quality of life at12th months with Myocardial InfarctionDimensional Assessment Scale (MIDAS). The results of the study were used SPSS17.0statistical software package for analysis.Results1. Morisky Medication Adherence Scale: The scores of medication adherence betweenthe control and intervention group at3th month,6th month after discharge were nostatistical difference (P>0.05), all the two groups’ adherence have been improved. But Atmonths12, the score was significantly higher in intervention group compared with controlgroup (P <0.05).2. PMT Questionnaire:(1)Severity and Vulnerability: Two sets of scores were nostatistical significance at3th month (P>0.05), but at6th months and12th months，thedifferences of the scores between two groups have statistical significance (P <0.05).(2)No significant improvement was observed in the scores of both intrinsic and extrinsic (P>0.05).(3) Response cost: the scores of intervention group at6th month and12th monthwere lower than the control one, the difference was statistically significant (P <0.05).(4)responsive efficacy: the scores of the intervention group at6th month and12th month werehigher than the control group’s, the difference was statistically significant (P <0.05).(5)self-efficacy: the difference of self-efficacy scores of two groups within6months were nostatistical significance (P>0.05), but12months later, it had been improved (P <0.05).3. MIDAS①At months12, the scores of both diet and taking medicine componentssignificantly lower in intervention group compared with control one (P＜0.05). Nosignificant improvements were observed in the global score and other components ofMIDAS.②The global score and score of safety component within12months in thecontrol group were increased significantly（P＜0.05）, while the same changes were notobserved in the intervention group. No significant improvements in other componentswere found. ConclusionHealth education based on PMT failed to improve the patients’ recent compliance oftaking dual antiplatelet drugs who were with AMI after PCI, but improved the complianceand the quality of life at12months. Reasons may be followings: health education based onPMT had improved the patients’ understanding to disease’s severity and vulnerability,reduced the obstacles of taking medication followed the doctor’s advice, hencestrengthened the faith of medication adherence. |
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