肺血栓栓塞症患者华法林抗凝治疗的知识、态度及行为的调查分析

Investigation and Analysison Knowledge,Attitude and Behavior of Warfarin Anticoagulant Therapy for Patients with Pulmonary Thromboembolism

目的分析肺血栓栓塞症(PTE)患者华法林抗凝治疗的知识、态度及依从性。方法纳入2017年1月至2018年12月进行华法林抗凝治疗的PTE患者105例,采用自制华法林抗凝治疗现状调查问卷,了解PTE患者华法林抗凝治疗的知识、态度及依从性。结果问卷有效回收率为87.50%;患者治疗相关知识得分为(12.83±3.25)分,合格率为48.57%(51/105);治疗态度得分为(22.41±4.86)分,华法林抗凝治疗态度好41例,64例患者态度得分较差;行为得分为(28.73±5.31)分;不同年龄、文化程度、居住地患者华法林抗凝治疗知识得分有显著差异,不同文化程度患者华法林抗凝治疗态度得分有显著差异,不同文化程度、居住地饮酒情况患者华法林抗凝治疗行为得分有显著差异(P<0.05)。结论PTE患者华法林抗凝治疗总体依从性较好,但相关知识掌握较少,遵医态度较差。

Objective To analyze knowledge,attitude and compliance of warfarin anticoagulant therapy for patients with pulmonary thromboembolism(PTE).Methods A total of 105 PTE patients who were given warfarin anticoagulant therapy from January 2017 to December 2018 were enrolled in this study.The questionnaires of self-made warfarin anticoagulant therapy current situation were performed to understand knowledge,attitude and compliance of warfarin anticoagulant therapy for PTEpatients.Results The response recovery rate of questionnaires was 87.50%.The score of treatment-related knowledge,qualification rate and score of treatment attitude were(12.83±3.25)points,48.57%(51/105)and(22.41±4.86)points,respectively.There were 41 cases withgood attitude to warfarin anticoagulant therapy,64 cases with poor attitude scores.The behavior scores were(28.73±5.31)points.There were significant differences in scores of warfarin anticoagulant therapy knowledgeamong patients with different age,education levels and places of residence.There were significant differences in scores of warfarin anticoagulant treatment attitude among patients with different educational levels.There were significant differences in scores of warfarin anticoagulant therapy behavior among patients with different educational levels,places of residence and drinking status(P<0.05).Conclusion Overall compliance of warfarin anticoagulant therapy is relatively better in PTE patients.However,mastery of relevant knowledge is less,and attitude of treatment complianceis poorer.