肺血栓栓塞症患者华法林抗凝治疗的知识、态度及行为的调查分析  

Status quo and influencing factors of anticoagulation therapy using warfarin among patients with pulmonary thromboembolism

作　　者：赵飞燕[1] 崔英[1] 肖树芹[2] 

机构地区：[1]首都医科大学附属北京朝阳医院呼吸与危重症医学科,北京市100020 [2]首都医科大学护理学院

出　　处：《中华护理杂志》2016年第12期1451-1455,共5页Chinese Journal of Nursing

摘　　要：目的了解肺血栓栓塞症患者服用华法林抗凝治疗的知识、态度及服药依从性,并分析其影响因素。方法发放自行设计的华法林抗凝治疗现状调查问卷,对142例接受华法林抗凝治疗的肺血栓栓塞症患者进行调查。结果是否发生出血是患者抗凝知识得分的影响因素(P<0.01);文化程度及是否接受抗凝宣教是抗凝态度得分的影响因素(P<0.01);文化程度、是否发生出血及是否接受抗凝宣教是抗凝行为得分的影响因素(P<0.01)。结论肺血栓栓塞症患者服用华法林抗凝治疗的遵医行为总体较好,遵医态度相对较差,对抗凝治疗缺乏正确认识。Objective To investigate the knowledge,attitude and medication compliance of patients with pulmonary thromboembolism and their influencing factors during anticoagulation therapy using warfarin. Methods Selfdesigned questionnaire was used to investigate 142 patients with pulmonary thromboembolism receiving warfarin anticoagulation therapy. Results Bleeding was a significant predictor of anticoagulation knowledge score for patients （P〈0.01） ;patients＇ cultural degree and whether receiving anticoagulation heahh education were predictors of antico agulation attitude score （P〈0.01）;patients＇ cultural degree,bleeding and whether receiving anticoagulation health education were predictors of anticoagulation behavior score （P〈0.01）. Conclusion The compliance behavior of patients with pulmonary thromboembolism receiving warfarin anticoagulation therapy is relatively good,the compliance attitude is relatively poor,and patients lack appropriate knowledge of anticoagulation therapy.

关 键 词：肺栓塞 华法林 抗凝药 知识 态度 行为 

分 类 号：R563.5[医药卫生—呼吸系统]