心脏瓣膜置换术后患者华法林依从性改善策略的研究进展

Research progress on strategies to improve patients＇ adherence to anticoagulation with warfarin after mechanical heartvalve replacement

本文总结了心脏瓣膜置换术后患者服用华法林抗凝依从性的现状、及就改善策略进行了综述。目前心脏瓣膜置换术后患者华法林抗凝的依从性尚不能让人满意。为提高心脏瓣膜置换术后患者服用华法林的依从性，建议可采取以下措施：针对不同的人群进行针对性的健康教育，加强社会支持、心理支持，加强随访及信息沟通和使用分药盒，引进国外抗凝管理模式如自我检测和自我管理，扩大国内医院抗凝门诊的建立，可以更有效地提高华法林依从性，改善患者预后。

It is reviewed in this article that the current situation of patients′ adherence to anticoagulation with warfarin after mechanical heart-valve replacement and the measures to improve the situation. Now the adherence situation of the patients is not satisfying to some extent. There are many things we can do to improve the adherence of patients and get a better anticoagulant effect, such as enhancing the health education according to the different background of patients, strengthening the social and psychological support, carrying out effective follow-up and information communication with the patients, the use of the medicine branch box, importing the foreign managing model of self-test and self-manage, expanding the special outpatient service for anticoagulation instruction. We may get a better adherence of anticoagulation with warfarin and improve the prognosis of patients.