护理干预对心房颤动患者抗凝治疗依从性的影响  

Effect of nursing intervention on the compliance of patients with atrial fibrillation treated by anticoagulant therapy

作　　者：柯月兰[1] 黎观梅[1] 黄丽娟[1] 

机构地区：[1]广东医学院附属医院心血管内科一区,湛江524001

出　　处：《现代护理》2007年第05Z期1293-1294,共2页Modern Nursing

摘　　要：目的：探讨护理干预能否提高慢性房颤患者接受长期抗凝治疗和每月监测INR的依从性。方法：将110例慢性房颤患者随机分为干预组（55例）和对照组（55例）。在住院期间,2组患者均口服华法林抗凝治疗,只对干预组实施护理干预。嘱2组患者出院后坚持长期口服华法林,每月监测INR1次。结果：干预组患者完全依从率和总依从率均较对照组高（P〈0.05）,干预组患者不依从率较对照组低（P〈0.05）。结论：护理干预能提高慢性房颤患者接受长期抗凝治疗和每月监测INR的依从性,它可应用于慢性房颤患者实施长期抗凝治疗前,并具有推广意义。Objective To observe whether patient＇s compliance can be increased by nursing intervention exerted on the patients with chronic atrial fibrillation who were treated by the anticoagulant therapy and measured INR monthly. Methods 110 patients with chronic atrial fibrillation were randomly divided into the intervention group （55 patients） and the control group （55 patients）. The patients in the two groups orally took warfarin for anticoagulant therapy when they were in hospital. We only made the nursing intervention in the intervention group when they were in hospital. The 110 patients were asked to orally take warfarin for a long--term and measure INR once a month. Results The rates of complete compliance and whole compliance were higher in the intervention group than those in the control group （both P 〈 0.05）. The rate of incompliance in the intervention group was lower than that in the control group （P 〈 0.05）. Conclusions Nursing intervention can increase the patients＇ compliance among the patients with chronic atrial fibrillation treatedwith the anticoagulant therapy and measured INR monthly. Nursing intervention can be taken for patients with chronic atrial fibrillation treated with the anticoagulant therapy for a long--term. The nursing intervention should be popularized.

关 键 词：护理干预 心房颤动 抗凝治疗 依从性 

分 类 号：R473[医药卫生—护理学]