Objective To explore the Influence of different health education approaches to standard anticoagulation of non-valvular atrial fibrillation. Methods 400 patients with NVAF were randomly divided into the research group (n=200) and the control group (n=200). Baseline clinical information was recorded. Both groups were given regular education and treatment. The control group was randomly divided into two subgroups. One subgroup (patients or/and family members) was given knowledge lectures of atrial fibrillation, atrial fibrillation anticoagulant, and application of warfarin. The other was given the knowledge through booklets. Standard anticoagulation fulfillment rate, ischemic stroke, other events of artery embolism, major bleeding, minor bleeding and death in the two groups were observed after 1 year. The cost for different education approaches was also compared between the 2 subgroups. Results (1)In the research group, standard anticoagulation fullfillment rate (40.53%) was higher than that of the control group(15.96%) (P<0.01). The rate of ischemic stroke (2.63%) was also lower than the control group (4.49%) (χ2=4.49, P<0.05). The death rate was lower in the research group than those in the control group, but minor bleeding rate was higher, without statistically significance (P>0.05).Other artery embolism rate , major bleeding, minor bleeding, death rate had no statistical difference. (2)Knowledge lecture group (10.8±1.0 min) spend more time than the booklet group (1.0±0.5 min) (P<0.01). The booklet group (5.1±1.1 yuan) costed more in terms of money than the knowledge lecture group (1.8±0.5 yuan) (P<0.01). (3)The knowledge lecture group showed higher standard anticoagulation fulfillment rate (47.96%) than that of booklet group (32.60%) (χ2=7.33, P<0.01). There was no statistical difference in ischemic stroke rate, other artery embolism rate, major bleeding rate, minor bleeding rate and the death rate. Conclusions Detailed, correct anticoagulant education and guidance can improve NVAF patients with standard anticoagulation, and reduce the risk of ischemic stroke. Knowledge lecture consumes more time but can improve the standard anticoagulation fulfillment rate.

Objective To explore the present situation of pressure ulcer of outside-hospital stroke patients, and to investigate caring knowledge and behaviors of their caregivers on pressure ulcer prevention and treatment. Methods From January to November in 2014, questionnaire was conducted in 78 caregivers of stroke patients with outside-hospital pressure ulcer. Results Within two hours after admission, 85. 9% of patients were graded as high risk by Braden scale, while 79. 2% belonged to grades I and Ⅱ. 15. 0% of the patients were hard to be graded or suspected to be with deep tissue damage. In the caregiver′s pressure ulcer prevention and treatment questionnaire, the relatively higher score went to skin care, while the lowest went to knowledge of pressure ulcer prevention, followed by the coping methods after occurrence of pressure ulcers. For dimensions of caring behavior in the questionnaire,the dimension of skin care acquired the highest score, while turning-over was the lowest, followed by wound care. Conclusions For community stroke patients, present situation of skin care is not satisfactory, and prevention knowledge and caring behavior of their caregivers on pressure ulcer need to be strengthened.