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Self-management of INR - a focus group study
Andrea Elisabeth Dahle-Andersen1, Åshild Lunde2, Marit Holm Sølsnes3
1Det medisinske fakultet, Universitetet i Bergen.
Summary
Norwegian patients using self-management for International Normalized Ratio (INR) monitoring reported increased self-esteem and freedom. This approach simplifies daily life and positively impacts quality of life.
Area of Science:
- Clinical Pharmacy
- Patient Self-Management
- Health Outcomes Research
Background:
- Warfarin therapy requires International Normalized Ratio (INR) monitoring to prevent thromboembolic events and bleeding.
- Patient self-management of INR, supported by training programs like Noklus, is implemented in some Norwegian health trusts.
- Understanding patient experiences and motivations is crucial for optimizing self-management programs.
Purpose of the Study:
- To explore Norwegian patients' experiences with self-management of INR.
- To identify patient motivations for engaging in INR self-management.
Main Methods:
- Qualitative study utilizing focus group interviews with 16 patients performing INR self-management.
- Interviews conducted in 2022 at Nordland Hospital, Bodø.
- Data analyzed using systematic text condensation.
Main Results:
- Patients reported enhanced self-esteem, a sense of freedom, and reduced stress post-initiation of INR self-management.
- Initial concerns regarding increased health responsibility were overcome, leading to a more relaxed attitude.
- Training improved participants' knowledge, confidence, and understanding of their bodies.
Conclusions:
- INR self-management simplifies daily routines for patients.
- Self-management of INR can significantly improve patients' overall quality of life.
- Training programs are effective in building patient confidence and knowledge for self-care.
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