Henn Clarissa de Borba, Rabelo Eneida Rejane, Boaz Marta, de Souza Emiliane Nogueira
Fundação Universitária de Cardiologia, Rio Grande do Sul, Brasil.
Rev Gaucha Enferm. 2008 Jun;29(2):207-13.
This study was carried out to assess patients' knowledge on anticoagulant therapy in an outpatient clinic. A questionnaire with ten questions with closed answers was applied. Correct answers to about 80% of the questions were considered satisfactory. Out of the 120 evaluated patients, 77 (64.1%) showed satisfactory knowledge, with an average of 7.8 +/- 1.7 correct answers. As to the International Normalized Ratio (INR), 69.4% of the sample was beyond therapeutic range, and 42.5% had hemorrhages in the last 6 months. Factors such as education level, income, hemorrhagic event, anticoagulation time, and gender did not show statistically significant difference. There is an obvious need for a systematic follow-up by health care professionals, using educational measures, to detect the difficulties faced by patients, maintaining an optimal INR.
本研究旨在评估门诊患者对抗凝治疗的了解情况。应用了一份包含十个封闭式问题的问卷。约80%的问题回答正确被视为令人满意。在120名接受评估的患者中，77名（64.1%）表现出令人满意的知识水平，平均正确答案数为7.8±1.7个。关于国际标准化比值（INR），69.4%的样本超出治疗范围，42.5%的患者在过去6个月内有出血情况。教育水平、收入、出血事件、抗凝时间和性别等因素未显示出统计学上的显著差异。医疗保健专业人员显然需要通过教育措施进行系统随访，以发现患者面临的困难，维持最佳的INR。
