Do patients with mechanical heart valves have the appropriate knowledge regarding warfarin therapy and can they adhere to the correct dosage?
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Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada mekanik kalp kapağı olan hastaların varfarin tedavisi hakkındaki bilgi düzeyleri ve tedaviye uyumları belirlendi. Çalışmaplanı: Bu tanımlayıcı çalışmaya 4 Ekim 2012 - 30 Mayıs 2013 tarihleri arasında Ege Üniversitesi Tıp Fakültesi Hastanesi Kalp ve Damar Cerrahisi Anabilim Dalı Polikliniği’nde en az üç ay varfarin tedavisi alan 114 hasta (56 erkek, 58 kadın; ort. yaş 53.0±13.5 yıl; dağılım 18-80 yıl) dahil edildi. Çalışmaya katılmayı kabul eden katılımcılar 18 yaşın üzerinde ve okuryazardı. Veriler sosyo-demografik profiller ve varfarin tedavisi hakkında bilgi ve tedaviye uyuma yönelik bir soru formu kullanılarak toplandı. Ölçekteki her madde için hastaların verdiği doğru cevaplara 1 (bir), yanlışlara ya da “bilmiyorum” cevaplarına 0 (sıfır) puan verilerek ortalama puanlar elde edildi. Hastaların varfarin dozuna uyumları (i) ilacı hekimin önerdiği şekilde düzenli kullanma, (ii) ilacı almayı unutma, (iii) 24 saatten fazla geciktirme ve (iv) gerekenden fazla alma sıklığına ilişkin dört soru ile ölçüldü. Bu dört sorunun cevabı 100 mm’lik bir görsel analog ölçeği ile değerlendirildi. Bul gu lar: Hastaların antikoagülan tedavi hakkında puan ortalaması 22 üzerinden 9.8±3.9 idi (en düşük: 2, en yüksek: 20). Hastaların %62.3’ü (n=71) varfarini tam olarak (%100) hekimin önerdiği şekilde kullandığını belirtti. Sonuç: Mekanik kalp kapağı olan ve varfarin kullanan hastaların varfarin tedavisi hakkında bilgi düzeylerinin düşük olduğu ve ilaca karşı uyumlarında sorunlar deneyimledikleri belirlendi.
Background:­ This study aims to determine the knowledge level regarding warfarin therapy and adherence to therapy of patients with mechanical heart valve. Methods: This descriptive study included 114 patients (56 males, 58 females; mean age 53.0±13.5 years; range 18 to 80 years) who received warfarin therapy for at least three months at the Department of Cardiovascular Surgery of Ege University Medical Faculty Hospital between 4 October 2012 and 30 May 2013. Patients who agreed to participate in the study were older than 18 years of age and literate. Data were collected by using sociodemographic profiles and a questionnaire form on knowledge of and adherence to warfarin therapy. A score of 1 (one) was given to patients’ correct answers, and 0 (zero) was given to incorrect or “I don’t know” answers for each item on the scale, and mean scores were obtained. Patients’ adherence to warfarin was measured by four questions involving (i) regular use of the medication as prescribed by doctors, (ii) forgetting to take the medication, (iii) delaying for more than 24 hours, and (iv) frequency of overuse. the answers to these four questions were evaluated based on a 100 mm visual analog scale. Results:­ Patients’ mean score regarding anticoagulant therapy was 9.8±3.9 (lowest: 2, highest: 20) out of 22. of the patients, 62.3% (n=71) stated that they used warfarin precisely as prescribed by doctors (100%). Conclusion:­ It was determined that patients with mechanical heart valve and using warfarin had low level of knowledge regarding warfarin therapy and that they experienced problems in terms of their adherence to the medication.
Background:­ This study aims to determine the knowledge level regarding warfarin therapy and adherence to therapy of patients with mechanical heart valve. Methods: This descriptive study included 114 patients (56 males, 58 females; mean age 53.0±13.5 years; range 18 to 80 years) who received warfarin therapy for at least three months at the Department of Cardiovascular Surgery of Ege University Medical Faculty Hospital between 4 October 2012 and 30 May 2013. Patients who agreed to participate in the study were older than 18 years of age and literate. Data were collected by using sociodemographic profiles and a questionnaire form on knowledge of and adherence to warfarin therapy. A score of 1 (one) was given to patients’ correct answers, and 0 (zero) was given to incorrect or “I don’t know” answers for each item on the scale, and mean scores were obtained. Patients’ adherence to warfarin was measured by four questions involving (i) regular use of the medication as prescribed by doctors, (ii) forgetting to take the medication, (iii) delaying for more than 24 hours, and (iv) frequency of overuse. the answers to these four questions were evaluated based on a 100 mm visual analog scale. Results:­ Patients’ mean score regarding anticoagulant therapy was 9.8±3.9 (lowest: 2, highest: 20) out of 22. of the patients, 62.3% (n=71) stated that they used warfarin precisely as prescribed by doctors (100%). Conclusion:­ It was determined that patients with mechanical heart valve and using warfarin had low level of knowledge regarding warfarin therapy and that they experienced problems in terms of their adherence to the medication.
Açıklama
Anahtar Kelimeler
Kalp ve Kalp Damar Sistemi, Cerrahi
Kaynak
Türk Göğüs Kalp Damar Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
23
Sayı
1
