EFFECT OF WHOLE-COURSE MEDICATION EDUCATION METHOD ON DRUG LITERACY AND COMPLICATIONS OF ELDERLY PATIENTS WITH CORONARY HEART DISEASE AFTER PERCUTANEOUS CORONARY INTERVENTION

Bo Chen^{1, *}, Siming Yu²

¹Department of Radiology, Jilin Provincial Corps Hospital of Chinese People's Armed Police Force, Changchun, 130000, China - ²Day Surgery Center, The first hospital of Jilin University, Changchun, 130000, China

Objective: To observe the effect of the whole-course medication education method on the drug literacy and complications of elderly patients with coronary heart disease after percutaneous coronary intervention. 

Methods: A total of 116 elderly patients with coronary heart disease who underwent PCI from March 2019 to April 2021 were randomly divided into routine group and education group, with 58 cases in each group. The routine group was guided by routine medication, while the education group used the whole-course medication education method. The drug literacy and complications of the two groups were compared. 

Results: Before the intervention, there was no significant difference in drug literacy scores between the two groups (P>0.05). The drug literacy scores of patients in the education group were higher than those in the routine group at 1 month and 3 months after operation, and the difference was statistically significant (P<0.05). The error rate of medication in education group was 5.17%(3/58), which was lower than that in the routine group (P<0.05). The incidence rates of complications and readmission in the education group were 3.45% (2/58) and 13.79% (8/58) respectively, which were lower than those in the routine group (P<0.05). There was no significant difference in the incidence and mortality of recurrent cardiovascular diseases between the two groups (P>0.05). 

Conclusion: The whole-course medication education method could improve the drug literacy and the health behavior and reduce the risk of postoperative complications and readmission for elderly patients with coronary heart disease after percutaneous coronary intervention, but its intervention effect on cardiovascular disease recurrence and mortality is equivalent to that of routine medication guidance. It is worth popularizing.