在使用华法林的住院和门诊患者中影响目标INR水平的因素
Ozge Tuncer1, Ayca Asma Sakalli1, Mustafa Ozan Gursoy2
1Department of Family Medicine, Health Sciences University, Izmir Bozyaka Training and Research Hospital, Izmir.
JPMA. The Journal of the Pakistan Medical Association
|December 11, 2024
概括
接受华法林治疗的患者在家庭医疗保健服务管理时有更好的国际正常化比率控制和更少的并发症. 这突显了家庭监测对华法林患者的有效性.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 患者护理管理的管理.
- 临床监测 临床监测
背景情况:
- 华法林治疗需要持续监测,以保持治疗范围内的国际正常化比率 (INR).
- 低于最佳的INR控制可以导致严重的并发症,如出血或血栓形成.
- 影响INR稳定性和华法林治疗患者结果的因素对于优化治疗至关重要.
研究的目的:
- 调查在华法林治疗的患者中实现目标国际规范化比率 (INR) 水平的速度.
- 确定影响INR控制和并发症率的因素.
- 为了比较家庭医疗保健服务和心脏病门诊之间INR监测的有效性.
主要方法:
- 一项涉及200名接受华法林治疗至少6个月的患者的前性横截面研究.
- 患者被分为两组:家庭医疗保健服务 (A组) 和心脏病门诊 (B组).
- 通过问卷收集的数据包括人口统计,华法林教育,副作用意识,并发症和INR状态;使用SPSS 27进行分析.
主要成果:
- 54%的患者实现了目标INR范围.
- 接受家庭医疗保健服务的患者报告说,他们对华法林的教育更多,并经历了更少的并发症 (p<0.05).
- 60%的患者报告了对华法林副作用的认识,其中40.5%出现并发症.
结论:
- 与心脏病门诊相比,家庭医疗服务提供了更可靠和更有效的国际正常化比率监测.
- 加强对华法林治疗的患者教育与更好的结果和更少的并发症有关.
- 通过家庭医疗保健等专用服务优化华法林管理,可以提高患者的安全性和治疗疗效.
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