探討使用LINE行動應用程式對冠心症病人的疾病認知及藥物遵從性之成效

研究背景：隨著飲食西化以及環境的變遷，罹患心血管方面的疾病的人數日漸益增，多數人不只運動量減少、攝取加工食品數量不斷增加，肥胖有增加的趨勢，最重要是不良的藥物遵從性及疾病知識不足，促使心血管疾病發生及復發率逐年上升，心血管藥物可有效降低心血管疾病發率和死亡率，而透過行動應用程式提醒及輔助，讓病人有良好的藥物遵從性及提升疾病知識，研究證實提供病人衛教已經被證明可以提升病人疾病知識及良好的藥物遵從性。研究目的：本研究目的主要探討使用LINE行動應用程式對冠心症病人的疾病認知及藥物遵從性的影響。研究方法：研究採隨機分配設計，研究場所為中部某醫學中心臟內科病房，選取診斷為冠心症病人，對照組35人依一般常規衛教，實驗組35人則介入行動應用程式衛教，本研究採介入研究設計，以方便取樣方式，出院後一週回診時評估疾病認知是否有差異及是否有規則服藥；出院後一個月及三個月給予電話追蹤疾病認知及服藥遵從性，統計兩組間的差異。

Background: With the westernization of diet and the change of environment, the number of people suffering from cardiovascular diseases is increasing day by day. Most people not only exercise less and eat more processed foods, but also have an increasing trend of obesity. The most important thing is that poor drug compliance and lack of disease knowledge promote the occurrence and recurrence rate of cardiovascular diseases to rise year by year. Cardiovascular drugs can effectively reduce the incidence and mortality of cardiovascular diseases, Through mobile application reminder and assistance, patients can have good drug compliance and improve disease knowledge. Research has confirmed that providing patient health education has been proved to improve disease knowledge of patients and good drug compliance.Objective: Explore the effect of using LINE mobile applications on disease cognition and medication adherence in patients with coronary heart disease. Research method: The study adopted a randomized distribution design. The research site was the cardiac medicine ward of a medical school in the central part of Taiwan. The patients diagnosed as coronary heart disease were selected. 35 patients in the control group received general routine health education, and 35 patients in the experimental group received intervention action application program health education. This study adopted an intervention study design to facilitate sampling. At the return visit one week after discharge, the patients were assessed whether there was any difference in disease cognition and regular medication; A return appointment in one month and three months after discharge, patients were given telephone tracking of disease cognition and drug compliance, and the differences between the two groups were statistically analyzed.