摘要
目的探讨心脏瓣膜置换术后患者对抗凝治疗的依从性,为提高临床治疗、有效控制病情提供依据。方法对2008年1月～2009年12月来我院住院治疗的84例瓣膜置换术后半年以上的患者进行调查。采用一般资料调查表、治疗依从性调查表及健康知识水平调查表。结果 2例出现咯血,1例发生大腿大片淤斑,腹膜后血肿2例,鼻出血1例,1例出现心脏瓣膜血栓。除2例外,所有患者的国际标准化比值和凝血酶原时间均延长,在调整治疗方案后症状出现缓解。患者的治疗依从性平均得分:服药依从性(3.94±1.28)分,随访依从性(3.35±1.17)分,饮食依从性(2.30±1.08)分。且男性在三个方面的依从性均低于女性(P<0.05)。结论目前1S脏瓣膜植入术后患者抗凝治疗依从性较差。在临床治疗中,应加强对患者进行疾病相关知识教育,以提高患者的用药依从性。
Objective To study the compliance of anticoagulant therapy for patients after cardiac valve replacement,providing basis for the treatment and prevention of this disease. Methods Eight-four patients after valve replacement treated in our hospital from January. 2008 to December. 2009 were investigated. General information, treatment compliance and health knowledge were surveyed by questionnaires. Results In all subjects,2 patients with hemoptysis, 1 case with large thigh ecchymosis,2 cases with retroperitoneal hematoma, 1 case with epistaxis,l case with heart valve thrombosis. The international normalized ratio and prothrombin time were pro- longed of all patients exception 2,and the symptom relief after treatment. Average scores of treatment compliance in patients： medication compliance with（3.94 ± 1.28）,follow-up compliance with （3.35 ± 1.17）,diet compliance with （2.30± 1.08）. And men in three areas of compliance were lower than females （P〈0.05）. Conclusion Patient＇s compliance scores of anticoagulant therapy were very low. In clinical treatment, health education should be strengthened to improve patient medication compliance.
出处
《中国现代医生》
2011年第5期130-131,共2页
China Modern Doctor
关键词
心脏瓣膜置换术
抗凝治疗
依从性
Cardiac valve replacement
Anticoagulant therapy
Compliance
