Effect of family unit-based continuous nursing model in warfarin anticoagulation among elderly patients with mechanical heart valve replacement
10.3760/cma.j.cn115682-20210902-03977
- VernacularTitle:基于家庭单元的延续性护理模式在老年心脏机械瓣置换患者华法林抗凝治疗中的应用
- Author:
Yujiao REN
1
;
Huanfang ZHOU
;
Qian QIAN
;
Jie ZHANG
Author Information
1. 无锡市第二人民医院老年心血管科，无锡 214002
- Keywords:
Aged;
Mechanical heart valve replacement;
Warfarin;
Anticoagulation;
Continuousnursing;
Family unit
- From:
Chinese Journal of Modern Nursing
2022;28(22):3043-3047
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of continuous nursing model based on family unit in long-term warfarin anticoagulation in elderly patients with mechanical heart valve replacement (MHVR) .Methods:From July 2018 to March 2021, 87 elderly patients who underwent MHVR in Wuxi Second People's Hospital and received long-term warfarin anticoagulation after surgery were selected by convenience sampling as the research subject. The patients were divided into the observation group ( n=46) and the control group ( n=41) by random number table method. The control group adopted the routine nursing model, and the observation group adopted the family unit-based continuous nursing model on this basis. The two groups of patients were compared in terms of 3 indicators, namely treatment compliance, treatment effectiveness, and treatment safety. Results:In terms of treatment compliance, the compliance rates of smoking and drinking cessation, diet control, compliance with medicines and regular review of patients in the observation group were better than those in the control group, and the differences were statistically significant ( P<0.05) . In terms of treatment effectiveness, the international normalized ratio (INR) compliance rate and the quality of life score of the observation group were higher than that of the control group with statistical differences ( P<0.05) . In terms of treatment safety, there was no significant difference in the incidence of bleeding events and thrombosis events between the two groups ( P>0.05) . Conclusions:The continuous nursing model based on family unit is effective and safe, and can improve the compliance of elderly patients with MHVR taking warfarin after surgery, and improve the INR compliance rate and quality of life of elderly patients.
