Observation of postoperative psychological intervention combined with warfarin anticoagulation in patients with heart valve replacement
10.3969/j.issn.1005-1678.2017.10.127
- VernacularTitle:术后心理干预联合华法林抗凝治疗心脏瓣膜置换患者的效果观察
- Author:
ling Mei CHEN
1
;
ling Qiao DING
Author Information
1. 丽水市中心医院 心胸外科
- Keywords:
warfarin;
anticoagulant therapy;
psychological intervention
- From:
Chinese Journal of Biochemical Pharmaceutics
2017;37(10):290-291
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of postoperative psychological intervention combined with warfarin anticoagulation in patients undergoing cardiac valve replacement. Methods A total of 56 patients with heart valve replacement treated in our hospital from January 2015 to September 2016 were randomly selected as the research object.The amount of warfarin and the incidence of complications were discussed by psychological intervention and follow-up. Results 56 patients were successful visit, complications in 5 cases (8.92%), which accounted for 3 cases (5.35%) of bleeding, embolism accounted for 2 cases (3.57%), normal in 51 cases (91.07%), hemorrhage in prothrombin time, dosage of Hua Falin and the international normalized ratio was significantly higher than that of patients with embolism and normal patients, the differences was statistically significant (P<0.05); psychological intervention on the compliance of patients after Hua Falin used significantly. Conclusion In patients with heart valve replacement after long-term warfarin anticoagulation, the international normalized ratio remains in the range of 1.8~2.5 can meet the requirement of anticoagulant and reduce the incidence of complications, psychological care after the surgery, can effectively improve the compliance of warfarin, is conducive to the treatment of patients with.
