Compliance with early Warfarin anticoagulation therapy after mechanical valve replacement and its influencing factors in elderly patients
10.3760/cma.j.issn.0254-9026.2021.02.007
- VernacularTitle:老年患者心脏机械瓣膜置换术后早期华法林抗凝治疗依从性及其影响因素
- Author:
Pei ZHANG
;
Hailing JU
;
Rongbin YU
;
Ni LI
;
Yan SHI
- From:
Chinese Journal of Geriatrics
2021;40(2):168-172
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the compliance with early Warfarin anticoagulation therapy after cardiac mechanical valve replacement(MHVR)and its related factors in elderly patients.Methods:The convenience sampling method was used to prospectively recruit 210 patients undergone MHVR at the Ningbo Medical Center of Lihuili Hospital from January 2017 to October 2019.Six months after discharge, face-to-face interviews or telephone follow-ups were conducted to assess general information, warfarin anticoagulation knowledge, anticoagulant treatment compliance and social support.Results:The overall compliance of early Warfarin anticoagulation therapy was excellent, with 99.5% of patients compliant with medication and 99.0% compliant with INR monitoring, both higher than the rate of compliance with advised lifestyle adjustment(92.1%). Anticoagulation knowledge and age were the main influencing factors for compliance in elderly patients after MHVR.Conclusions:The compliance with early Warfarin anticoagulation therapy after MHVR is good in elderly patients in the Ningbo area.The correlation analysis suggests that medical professionals need to promote education on anticoagulation knowledge and pay more attention to anticoagulation compliance in elderly people.
