上海护理2017，Vol.17Issue(5)：24-27,4.
"患者自我管理本"在机械瓣膜置换术后患者中的应用
Application of"patient self-management"in patients with mechanical valve replacement
摘要
Abstract
Objective To investigate the application effect of " patient self-management" in anticoagulation therapy of the patients with mechanical valve replacement. Methods From April to September 2013,127 patients with mechanical valve replacement in Renji Hospital,Shanghai Jiao Tong University School of Medicine were selected. They were randomly divided into the experimental group (n = 60)and control group (n = 67). The control group received the routine records and guidance,and the experimental group received additional"patient self-management". All the patients filled in the questionnaire 1 d before discharge. Six months after discharge,the revised version of Morisky Medication Adherence Scale was used to assess the patient medication compliance. During one week and one year after discharge the patients were followed up to analyze the changes in international normalized ratio (INR). Results There were significant differences in the mastering of anticoagulation knowledge,compliance of oral administration of warfarin and control of INR values between the two groups (P < 0. 05). Conclusion The application of "patient self-management"in the patients with mechanical valve replacement is beneficial for the mastering of anticoagulation knowledge,improving the complicance of oral administration of warfarin and control of INR values,and could help medical staff to understand the dynamic situation of anticoagulation.关键词
机械瓣膜置换术/抗凝治疗/自我管理/应用效果Key words
Mechanical valve replacement/Anticoagulation therapy/Self-management/Application effect分类
医药卫生引用本文复制引用
顾晓婷,吴晓蓉,郑微艳,许莉.."患者自我管理本"在机械瓣膜置换术后患者中的应用[J].上海护理,2017,17(5):24-27,4.基金项目
上海交通大学医学院附属仁济医院科技创新小发明资助(RJ201306). （RJ201306）
