147例心脏机械瓣膜置换术后患者INR监测依从性的调查分析  

Survey of compliance by INR monitoring in 147 patients with mechanical valve replacement

作　　者：李雪梅[1] 许岩[2] 

机构地区：[1]首都医科大学附属北京安贞医院,北京100029 [2]北京协和医学院,北京100025

出　　处：《现代临床护理》2011年第1期6-8,33,共4页Modern Clinical Nursing

摘　　要：目的了解147例心脏机械瓣膜置换术后患者国际标准化比值(international normalized ration,INR)监测的依从性,为临床针对性开展健康教育工作提供依据。方法选择本院2005年1月-2009年12月147例心脏机械瓣膜置换术后患者,采用自行设计问卷进行电话随访的方法,了解患者术后对INR监测的依从性。结果 147例心脏机械瓣膜置换术后患者INR监测依从性的总体状况为:依从性好占49.0%,依从性差占51.0%。影响依从性的主要因素为患者掌握INR监测的知识(P<0.001),患者的性别、年龄、文化程度、经济状况、病程对INR监测依从性无影响(均P>0.05)。结论心脏机械瓣膜置换术后患者INR监测依从性较差,与其掌握的INR监测相关知识水平有关,护士应强化相关知识的健康教育,提高患者对INR监测的依从性。Objective To provide the evidence for the health education in patients with mechanical valve replacement, according to the analysis of compliance of INR monitoring. Methods 147 patients undergoing mechanical valve replacement during January 2005 to December 2009 were randomly selected from our hospital database. They were interviewed on telephone to complete the self-designed questionnaire. Results Among the 147 patients, compliance with INR monitoring was satisfactory in 49.0% and unsatisfactory in 51.0%. Gender, age, education, economic status and course of disease were not significantly associated with the compliance with INR, but their knowledge about INR monitoring was significantly （P 〈 0.001 ）. Conclusions The compliance with INR monitoring in patients undergoing mechanical valve replacement is relatively unsatisfactory, which is related to their deficiency of knowledge about INR monitoring. The enhanced health education on the knowledge is necessary for improved compliance of INR monitoring.

关 键 词：心脏机械瓣膜置换术 国际标准化比值 依从性 健康教育 

分 类 号：R473.6[医药卫生—护理学]