多媒体影像抗凝教育对心脏瓣膜置换术后患者抗凝治疗依从性的影响

Effect of multimedia anticoagulation education on the remote area patients receiving anticoagulative drug treatment

目的探讨多媒体影像抗凝教育对边疆地区心脏瓣膜置换术后患者抗凝治疗依从性的影响。方法对218例接受抗凝药物治疗的住院瓣膜置换术后患者采用集体授课、鼓励看书自学的方式,实施心脏瓣膜置换术后抗凝教育培训。结果患者在教育培训前后的抗凝知识掌据程度和自我管理能力评分比较,有统计学差异(均P<0.05)。接受教育后,患者的抗凝知识及自我管理能力明显提高,患者对服用抗凝药物的认识和接受抗凝药物治疗的态度有明显改善。32例未能电话随访的患者中有2例发生血栓形成。结论边疆地区的患者受教育水平普遍较低,故患者对以图像为主的多媒体教学方式能较好接受,对文字教育的接受程度较低。教育是提高患者治疗依从性和自我管理能力的有效途径。

Objective To study the effect of multimedia anticoagulative education on the remote area patients receiving anticoagulative drug treatment. Methods 218 cases of patients who were performed heart valve replacement procedure were trained in three different ways： group education, individual education and self-education in the hospital for three to four weeks by a team of nurses and doctors. Results The average test scores was 9.02±0.38 after education and higher than before education （P 〈 0.05）. The self-care skill and knowledge such as self-monitor of bleeding and PT were improved. Conclusion Multimedia anticoagulative education is an important way for the remote area patients to learn anticoagulative knowledge and improve the ability of self-management. There is a good result for those patients who received multiple media education.