NOACs用药教育对心房颤动患者抗凝认知水平的影响

Effect of NOACs medication education on cognitive level about anticoagulation in patients with atrial fibrillation

目的 探讨非维生素K拮抗剂口服抗凝药(non-vitamin K antagonist oral anticoagulants,NOACs)在心房颤动患者中的最佳用药教育策略,用于有效提高心房颤动患者抗凝认识水平。方法 依据NOACs说明书及相关心房颤动治疗指南,制定10条心房颤动患者NOACs用药知识教育内容,依据自制用药教育程序进行宣教,比较用药教育前、后心房颤动患者对NOACs抗凝知识的知晓情况。结果 该10条心房颤动患者NOACs用药教育问题包含了NOACs必备知识,采用该用药教育策略对心房颤动患者进行用药教育后,NOACs知识知晓率由教育前的0~56.25%提高至100.00%,差异有显著的统计学意义(均P <0.01)。结论 该用药教育策略可有效提升临床药师的工作效率,而且用药教育质量较好,效果显著,值得临床药师借鉴。

Objectives To explore the best medication education strategy for non-vitamin K antagonist oral anticoagulant drugs(NOACs)in patients with atrial fibrillation,in order to effectively improve the cognitive level about anticoagulation of patients with atrial fibrillation.Methods According to the NOACs instructions and related treatment guidelines for atrial fibrillation,ten points of NOACs medication education knowledge for patients with atrial fibrillation were established.According to the selfmedication education program,the patients’acknowledgments of NOACs anticoagulation before and after education were compared.Results NOACs medication education contained essential information of NOACs.After the education was well performed,the knowledge awareness rate of NOACs increased from 0 to 56.25%before education to100.00%(P<0.01).Conclusion This medication education strategy can effectively improve the efficiency of pharmacists.The quality of medication education is significantly good.It is worthy for pharmacists to take some advantages of this strategy.