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Knowledge, Attitude and Practice Toward Intracerebral Hemorrhage Prevention Among Patients Taking Oral Anticoagulants

Wei Xiao1, Yanqiong Liu2, Hua Tang3

  • 1Department of Neurosurgical Care Unit, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, 415003, People's Republic of China.

International Journal of General Medicine
|July 25, 2024
PubMed

Insights

Patients on oral anticoagulation (OAC) have poor knowledge and attitudes towards preventing intracerebral hemorrhage (ICH). Their practice is influenced by age, medication, and attitude, not knowledge.

Area of Science:

  • Medical research
  • Clinical practice
  • Patient safety

Background:

  • Intracerebral hemorrhage (ICH) affects up to 1% of oral anticoagulation (OAC) users annually.
  • Understanding patient knowledge, attitude, and practice (KAP) is crucial for ICH prevention in OAC users.

Purpose of the Study:

  • To explore the knowledge, attitude, and practice (KAP) regarding ICH prevention among patients using OACs.
  • To analyze the relationships between KAP and demographic/medication factors.

Main Methods:

  • A multicenter cross-sectional survey involving 536 OAC patients.
  • Self-administered questionnaires assessed KAP towards ICH prevention.
  • Structural equation modeling analyzed KAP relationships.

Main Results:

  • Average KAP scores indicated insufficient knowledge and negative attitudes, but proactive practice.
  • Rivaroxaban users had lower knowledge but higher attitude/practice scores than Warfarin/Dabigatran users.
  • Attitude positively impacted practice; knowledge negatively impacted attitude and practice.

Conclusions:

  • OAC patients demonstrate inadequate knowledge and attitudes concerning ICH prevention.
  • Practice scores are influenced by age, OAC type, and attitude, underscoring the need for targeted interventions.
Abstract

Keywords:
anticoagulantsattitudecerebral hemorrhagedabigatranknowledgepracticerivaroxabanwarfarin

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