脑卒中并发症体验教学提高房颤患者服用华法林依从性

Experiential teaching of stroke complications improves compliance with warfarin therapy in patients with atrial fibrillation

目的探讨脑卒中并发症体验教学对房颤患者服用华法林依从性的影响。方法将口服华法林的122例房颤患者按病区分为干预组63例和对照组59例。对照组采用常规教育方式,干预组在此基础上实施脑卒中并发症体验教学。干预3、6个月后评价效果。结果干预组出院后3个月和6个月服药依从性评分显著高于对照组(P<0.05,P<0.01)。出院后6个月对照组2例发生脑卒中;干预组未发生。结论实施脑卒中并发症体验教学有助于提高房颤患者服用华法林依从性,可能有助于降低房颤并发脑卒中的发生。

Objective To explore the effect of experiential teaching of stroke complications on compliance with warfarin therapy in patients with atrial fibrillation.Methods A total of 122 atrial fibrillation patients on oral warfarin therapy were divided into 2 group per randomization of the units they were in.The control group(n=59)was given routine education,while the intervention group(n=63)was additionally given experiential teaching of stroke complications.Six months into the intervention,the 2 groups were eva-luated 3 months and 6 months into the intervention.Results Medication compliance score measured at 3 months and 6 months into the intervention in the intervention group were significantly higher than the control group(P<0.05 for both).Six months after discharge,2 cases in the control group versus zero case in the intervention group developed stroke.Conclusion Application of experiential teaching of stroke complications can improve compliance with warfarin therapy in patients with atrial fibrillation.