The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy
| dc.contributor.author | Yıldırım, Jülide Gülizar | |
| dc.contributor.author | Temel, Ayla Bayık | |
| dc.date.accessioned | 2023-01-12T20:32:30Z | |
| dc.date.available | 2023-01-12T20:32:30Z | |
| dc.date.issued | 2020 | |
| dc.department | N/A/Department | en_US |
| dc.description.abstract | Aim: Warfarin, which is widely used for preventing thromboembolic events, can cause major and minor side effects. The aim of this trial is to evaluate the effect of nurse home-support program on self-management of patients receiving warfarin therapy.Method: A randomized, controlled trial was conducted using 36 selected and eligible patients who had 12-month home-visit follow-ups. The bleeding risk score, potential and preventable warfarin-related complications, patients’ self-management behaviors, and anticoagulation satisfaction were examined. Data analyses were performed using parametric and nonparametric tests, split-plot analysis of variance, multiple regression analysis, and Bland and Altman plots test.Results: The bleeding risk score was an effective variable for assessing patient satisfaction (p<0.05). The self-management group demonstrated decreased bleeding risk at the end of the trial. The Duke Anticoagulation Satisfaction Scale mean score represents a statistically significant improvement in the self-management group (p<0.05). Patients’ self-management behaviors improved significantly in the self-management group compared to the control group (p<0.05). The number of international normalized ratio values within the target range was significantly higher in the self-management group (174/432) than in the control group (82/432). The self-management group showed significant reductions in both thromboembolic events.Conclusion: This trial demonstrated evidence that use of nursing home care is effective in developing self-management behaviors, improving patient satisfaction, and preventing complications in patients receiving warfarin therapy. This model could be easily adopted and implemented by home care services and health organizations. | en_US |
| dc.identifier.doi | 10.5152/FNJN.2020.19020 | |
| dc.identifier.endpage | 22 | en_US |
| dc.identifier.issn | 2147-4923 | |
| dc.identifier.issn | 2687-6442 | |
| dc.identifier.issue | 1 | en_US |
| dc.identifier.startpage | 13 | en_US |
| dc.identifier.trdizinid | 366583 | en_US |
| dc.identifier.uri | https://doi.org/10.5152/FNJN.2020.19020 | |
| dc.identifier.uri | https://search.trdizin.gov.tr/yayin/detay/366583 | |
| dc.identifier.uri | https://hdl.handle.net/11454/81148 | |
| dc.identifier.volume | 28 | en_US |
| dc.indekslendigikaynak | TR-Dizin | en_US |
| dc.language.iso | en | en_US |
| dc.relation.ispartof | Florence Nightingale journal of nursing (Online) | en_US |
| dc.relation.publicationcategory | Makale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.title | The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy | en_US |
| dc.type | Article | en_US |
