Effects of a Personalized Nurse-Led Educational Program for New Patients Receiving Oral Anticoagulant Therapy after Mechanical Heart Valve Prosthesis Implantation on Adherence to Treatment.
Anticoagulation Knowledge Assessment Questionnaire
Mechanical heart valve
Oral anticoagulant therapy
Patients' information
Personalized education
Journal
Journal of chest surgery
ISSN: 2765-1606
Titre abrégé: J Chest Surg
Pays: Korea (South)
ID NLM: 101775790
Informations de publication
Date de publication:
05 Feb 2021
05 Feb 2021
Historique:
received:
06
08
2020
revised:
15
10
2020
accepted:
18
10
2020
entrez:
26
3
2021
pubmed:
27
3
2021
medline:
27
3
2021
Statut:
ppublish
Résumé
Life-long anticoagulant therapy is mandatory for patients who undergo heart valve replacement with implantation of a mechanical prosthesis. The aim of this study was to investigate the effects of a nurse-led patient educational program concerning oral anticoagulant therapy intake after heart valve replacement surgery on patients' knowledge of important parameters of anticoagulant administration. In this single-center study, 200 patients who underwent surgical implantation of a mechanical prosthesis were divided into 2 groups. The control group received the basic education concerning oral anticoagulants, while the intervention group received a personalized educational program. Personalized education was correlated with a better regulation of therapeutic international normalized ratio (INR) levels and adequate knowledge among patients. Therapeutic levels of INR were achieved in 45% of the patients during the first month, 71% in the third month, and 89% in the sixth month after discharge in the intervention group, compared to 25%, 47%, and 76% in the control group, respectively. Patients' satisfaction with the information was higher in the intervention group than in the control group. The percentage of satisfaction reached 80% for the intervention group versus 37% for the patients of the control group. The implementation of the nurse-led educational programs was associated with improved clinical results and increased adherence to oral anticoagulant treatment.
Sections du résumé
BACKGROUND
BACKGROUND
Life-long anticoagulant therapy is mandatory for patients who undergo heart valve replacement with implantation of a mechanical prosthesis. The aim of this study was to investigate the effects of a nurse-led patient educational program concerning oral anticoagulant therapy intake after heart valve replacement surgery on patients' knowledge of important parameters of anticoagulant administration.
METHODS
METHODS
In this single-center study, 200 patients who underwent surgical implantation of a mechanical prosthesis were divided into 2 groups. The control group received the basic education concerning oral anticoagulants, while the intervention group received a personalized educational program.
RESULTS
RESULTS
Personalized education was correlated with a better regulation of therapeutic international normalized ratio (INR) levels and adequate knowledge among patients. Therapeutic levels of INR were achieved in 45% of the patients during the first month, 71% in the third month, and 89% in the sixth month after discharge in the intervention group, compared to 25%, 47%, and 76% in the control group, respectively. Patients' satisfaction with the information was higher in the intervention group than in the control group. The percentage of satisfaction reached 80% for the intervention group versus 37% for the patients of the control group.
CONCLUSION
CONCLUSIONS
The implementation of the nurse-led educational programs was associated with improved clinical results and increased adherence to oral anticoagulant treatment.
Identifiants
pubmed: 33767008
pii: kjtcs.20.106
doi: 10.5090/kjtcs.20.106
pmc: PMC7946524
doi:
Types de publication
Journal Article
Langues
eng
Pagination
25-30Références
J Thromb Thrombolysis. 2008 Feb;25(1):18-25
pubmed: 18060537
J Thromb Thrombolysis. 2011 May;31(4):514-22
pubmed: 21327503
Clin Nurse Spec. 2009 May-Jun;23(3):161-70; quiz 171-2
pubmed: 19395894
BMC Res Notes. 2015 Sep 10;8:429
pubmed: 26358332
Home Healthc Nurse. 2010 Jun;28(6):366-74
pubmed: 20539139
Home Healthc Nurse. 2003 Feb;21(2):94-100; quiz 101
pubmed: 12574677
Arch Intern Med. 2007 Feb 12;167(3):239-45
pubmed: 17296878
J Cardiovasc Nurs. 2006 May-Jun;21(3):169-75; quiz 176-7
pubmed: 16699355
Nurs Clin North Am. 2007 Jun;42(2):229-41, vi
pubmed: 17544680
Thromb Res. 2014 Apr;133(4):550-4
pubmed: 24448058
J Heart Valve Dis. 2010 Mar;19(2):161-70
pubmed: 20369498
Ann Pharmacother. 2003 Jan;37(1):34-9
pubmed: 12503930