群组管理对心脏机械瓣膜置换术后患者华法林抗凝治疗效果的影响

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1、摘要结论1与常规的管理模式相比，群组管理可以提高机械瓣膜置换术后患者的华法林抗凝治疗依从性和华法林的抗凝认知程度。2群组管理可以提高机械瓣膜置换术后患者口服华法林相关的生活质量，各维度均有不同程度的提高。3群组管理能提高机械瓣膜置换术后患者口服华法林的INR达标率，减少华法林相关抗凝不良事件的发生。关键词：机械瓣膜置换国际标准化比值华法林抗凝不良事件达标窒AbstractTheimpactofgroupvisitsonanticoagulanttherapyofwarfarinofpatientsaftermechanicalheartva

2、lvereplacementobjeetivePostgraduate：ZhongxiaFanSupervisor：QingrongQuTheFirstAffiliatedHospitalofZhengzhouUniversityZhengzhou4500521Toexplorewhetheritisfeasiblethatgroupvisitswasappliedtopatientswhotakewarfarinforanticoagulanttherapyaftermechanicalheartvalvereplacement；2Too

3、bservethedegreeofcognition，anticoagulanttreatmentcompliance，thepercentageofINRinrange，complicationandqualityoflifeinpatientsurdergoingmechanicalheartvalvereplacementmanagedbygroupvisits．Methods1Aconveniencesamplingof88subjectswerecollectedfromJanuary，2013toJune，2013．Theywe

4、resuccessfullyreplacedmechanicalheartvalveinourhospitalcardiovascularsurgery．2Accordingtotheparityofhealtheducationmonthandflipacoinmethod，patientswererandomlydividedinto2group，1，3，5monthsetasinterventiongrouppatients，patientswith2，4，6monthsetascontrolgroup．mecontrolgroupw

5、asfollowedwithroutinemanagement：thedaybeforedischargingfromhospital，thepatientsandtheircaregivershadhealtheducationandone-on—oneconversation，learnedtheknowledgeoforalwarfarinanticoagulantmedicineprinciple，purpose，time，attention，etc．Givethepatientswarfarinanticoagulationthe

6、rapyhandbookafterIVAbstractmechanicalvalvereplacementbefordischargedfromhospital．Thepatientsshouldmonitor1NRvaluesregularlyandhaveoutpatientfollow—upafterdischarged．Thetreatmentgroupwasmanagementwithgroupvisits，everyaftemoonintheMondayandWednesday，last1h，patientstookpartin

7、thegroupvisits，thecontentofgroupvisitsincluding：wanningupcommunicationfor5minutes，anticoagulationeducationofwarfarinfor35minutes；answeringparticipants’questionsfor10minutes；summaryfor10minutes．珏emanagementWasthesamewithcontrolgroupafterdischarged．3Designedgeneralsituationq

8、uestionnairetorecordthepatient’Sgeneralinformationanddiseaseinformation，thecranialcontent