Gospos Jonathan, Bernaitis Nijole
School of Pharmacy & Pharmacology and Quality Use of Medicines Network, Griffith University, 4222 Queensland, Australia.
J Clin Med. 2019 Jun 17;8(6):863. doi: 10.3390/jcm8060863.
Warfarin has long been the only oral anticoagulant (OAC) available, but options now include non-vitamin K antagonists. Prescribing an OAC may be influenced by patient factors and preferences influenced by dosing, monitoring, and adverse effects, which may ultimately impact patient satisfaction and convenience. The aim of this study was to explore the perception of OAC treatment by Australian patients in terms of treatment expectations, convenience, and satisfaction.
The Perception of Anticoagulant Treatment Questionnaire was distributed to patients dispensed OAC medication from three pharmacies in South-East Queensland. Responses to questions using a five-point Likert scale were collated and mean results utilised to assess expectations, convenience, and satisfaction, including an analysis across demographic groups.
A total of 56 (26.8%) surveys were returned, with the majority of respondent's male (58.2%). Highest mean scores for treatment expectation were for an OAC that was easy to take (4.85 ± 0.79) and that could be taken care of by the respondents themselves (4.11 ± 1.14). The mean overall score for convenience was 68.90 ± 11.44% and for satisfaction 69.43 ± 16.58%. Significantly higher mean convenience scores were found in females and patients with atrial fibrillation.
Patients' highest expectations were for an OAC that would be easy to take, and overall satisfaction and convenience was around 69%. Factors including demographics can influence perceptions of therapy, and addressing individual preferences for OAC therapy may increase ratings of satisfaction and convenience.
长期以来，华法林一直是唯一可用的口服抗凝剂（OAC），但现在有了非维生素K拮抗剂等选择。开具OAC可能会受到患者因素以及给药、监测和不良反应所影响的偏好的影响，这最终可能会影响患者的满意度和便利性。本研究的目的是从治疗期望、便利性和满意度方面探讨澳大利亚患者对OAC治疗的看法。
向昆士兰州东南部三家药房配发OAC药物的患者发放抗凝治疗认知调查问卷。对使用五点李克特量表的问题回答进行整理，并利用平均结果评估期望、便利性和满意度，包括对不同人口统计学群体的分析。
共收回56份（26.8%）调查问卷，大多数受访者为男性（58.2%）。治疗期望的最高平均分是针对易于服用的OAC（4.85±0.79）以及受访者自己能够处理的OAC（4.11±1.14）。便利性的平均总分是68.90±11.44%，满意度的平均总分是69.43±16.58%。女性和房颤患者的便利性平均得分显著更高。
患者的最高期望是有易于服用的OAC，总体满意度和便利性约为69%。包括人口统计学在内的因素会影响对治疗的看法，关注OAC治疗的个体偏好可能会提高满意度和便利性评分。
