瓣膜术后口服华法林患者的延续护理

Transitional care for patients receiving warfarin therapy after heart valve surgery

目的探讨延续护理在瓣膜术后口服华法林患者中的应用效果。方法将心脏瓣膜术后需要口服华法林的80例患者随机分为对照组与研究组各40例。对照组给予常规出院指导,研究组在对照组的基础上实施口服华法林的延续护理。干预6个月采用改良版心脏病自我护理行为评价量表对患者进行测评,比较两组患者华法林抗凝治疗达标率及并发症发生率。结果研究组自我护理行为及华法林抗凝治疗达标率显著高于对照组,出血发生率显著低于对照组(均P<0.05)。结论延续护理能有效提高患者院外自我护理能力,提高华法林抗凝效果、降低患者并发症的发生率。

Objective To explore the effect of transitional care for patients receiving warfarin therapy after heart valve surgery. Methods Eighty patients requiring warfarin therapy after heart valve surgery were randomly divided into a control group and a study group of 40, receiving either routine discharge guidance or transitional care to instruct warfarin therapy. Self-care behavior was measured using a modified Chinese Version of Sel^care of Heart Failure Index after 6 months of intervention in both groups. The rate of international normalized ratio （INR） achieving standard target and incidence of complications were also compared between the two groups. Results Self-care behavior, rate of INR achieving standard target in the study group were significantly higher than the control group, whereas incidence of complications was significantly lower than the control group （P（0.05 for all）. Conclusion Transitional care can effectively improve self-care ability of patients and effectiveness of warfarin therapy, and reduce incidence of complications.