Romero-Arana Adolfo, González-Rodríguez María José, Sánchez-Vega Patricia, García-Iglesias Juan Jesús, Gómez-Salgado Juan, Romero Adolfo
Servicio Andaluz de Salud, Distrito Sanitario Costa del Sol, Málaga, España; Instituto de Investigaciones Biomédicas de Málaga (IBIMA-Bionand), Málaga, España.
Unidad de Tratamiento Anticoagulante, Hospital Valle del Guadalhorce, Cártama, Málaga, España.
Aten Primaria. 2025 May;57(5):103139. doi: 10.1016/j.aprim.2024.103139. Epub 2024 Nov 12.
Oral anticoagulation Self-control programs have demonstrated efficiency over recent years.
The aim of the study was to evaluate the level of knowledge and coagulation level of self-controlled anticoagulated patients after an educational program.
A quasi-experimental study, pre-test and post-test. SITE: Health area of the Hematology Service of the Virgen de la Victoria University Hospital (Málaga, Spain).
Self-monitored anticoagulated patients.
Educational intervention about oral anticoagulation knowledge focused on patients that will initiate the self-control program in our consultation.
To check the patient's adherence and coagulation level, we evaluated the Rosendaal Time in Therapeutic Rank (TTRr), both before and after the intervention.
145 patients have been included from 2016 to 2022 with a mean age of 49.18 years (SD 17.24). The mean score for the first test about knowledge was 14.61 (SD 3.26) and the mean score for the second test was 17.01 (SD 2.14) (p <0.001). Values before and after interventions were also statistically significant (67.46 vs 70.53, p<0.001).
The results showed that knowledge improved after the training session and the TTR values are better after the training which appears to be an effective action to improve the knowledge about oral anticoagulation in these patients.
近年来,口服抗凝自我管理项目已证明具有有效性。
本研究旨在评估教育项目后自我管理抗凝患者的知识水平和凝血水平。
一项准实验性研究,包括前测和后测。地点:维多利亚圣母大学医院血液科的健康区域(西班牙马拉加)。
自我监测的抗凝患者。
针对将在我们的门诊开始自我管理项目的患者,开展关于口服抗凝知识的教育干预。
为检查患者的依从性和凝血水平,我们在干预前后评估了治疗排名中的罗森达尔时间(TTRr)。
2016年至2022年纳入了145名患者,平均年龄为49.18岁(标准差17.24)。第一次知识测试的平均得分为14.61(标准差3.26),第二次测试的平均得分为17.01(标准差2.14)(p<0.001)。干预前后的值也具有统计学意义(67.46对70.53,p<0.001)。
结果表明,培训后知识水平有所提高,培训后TTR值更好,这似乎是提高这些患者口服抗凝知识的有效举措。