|本期目录/Table of Contents|

[1]马艾,刘畅,周文悦.新的健康教育模式对心房颤动患者华法林治疗的影响[J].慢性病学杂志,2015,(6):678-681.
点击复制

新的健康教育模式对心房颤动患者华法林治疗的影响(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2015年6期
页码:
678-681
栏目:
专题报道
出版日期:
2015-12-27

文章信息/Info

Title:
-
作者:
马艾 刘畅 周文悦
首都医科大学附属北京安贞医院心内科(北京市心肺血管疾病研究所),北京100029
Author(s):
-
关键词:
心房颤动非瓣膜性健康教育规范性抗凝
Keywords:
-
分类号:
R455.7
DOI:
-
摘要:
目的探讨心房颤动(房颤) 知识手册结合健康教育讲座对改善房颤患者对华法林抗凝知识的理解 和提高华法林的治疗范围时间(TTR) 的影响。方法255 例心房颤动患者随机分为对照组(n=130) 和 研究组(n=125)。记录所有患者的临床资料。研究组患者给予房颤知识手册结合健康教育讲座指导华法林 抗凝治疗和定期随访,而对照组患者给予健康教育讲座指导华法林抗凝治疗和定期随访。计算华法林的 TTR、华法林知识的标准调查问卷分数。数据使用Excel 2003 软件及SPSS 17.0 统计软件进行分析。计 量资料用( xˉ±s )表示,采用t 检验;计数资料则采用χ2 检验;P<0.05 表示差异有统计学意义。结果平均 随访(3.1±0.5) 个月。与对照组相比, 研究组的TTR 显著性升高[ (74.6±23.8) % vs. (63.4±22.3) %, P>0.01]。两组的缺血性卒中、大出血、其他动脉栓塞、微量出血、死亡等发生率差异均无统计学意义 (P>0.05)。与对照组相比,研究组的健康教育讲座花费时间显著性减少[(12.1±1.2) min vs (16.3±0.8) min, P<0.01],标准问卷的分数显著提高(81.25 分vs.68.75 分,P=0.001)。结论房颤知识手册结合健康教育 讲座的新模式改善了房颤患者对华法林抗凝知识的理解和华法林的TTR 。
Abstract:
-

参考文献/References:

[1] Camm AJ, Lip GY, De Caterina R, et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association [J]. Eur Heart J, 2012, 33 (21):2719-2747. [/br][2] Shen AY, Contreras R, Sobnosky S, et al. Racial/ethnic dif? ferences in the prevalence of atrial fibrillation among older adults-- a cross- sectional study [J]. J Natl Med Assoc, 2010, 102(10):906-913. [/br][3] Zhou Z, Hu D. An epidemiological study on the prevalence of atrial fibrillation in the Chinese population of mainland China [J]. J Epidemiol, 2008,18(5):209-216. [/br][4] Camm AJ, Kirchhof P, Lip GY, et al. Guidelines for the man? agement of atrial fibrillation: the Task Force for the Manage? ment of Atrial Fibrillation of the European Society of Cardiolo? gy (ESC) [J]. Eur Heart J, 2010,31(19):2369-2429. [/br][5] Naccarelli GV, Varker H, Lin J, et al. Increasing prevalence of atrial fibrillation and flutter in the United States [J]. Am JCardiol, 2009,104(11):1534-1539. [/br][6] Gage BF, Waterman AD, Shannon W, et al. Validation of clinical classi?cation schemes for predicting stroke:results from the National Registry of Atrial Fibrillation [J]. J Am Med As? soc, 2001(285):2864-2870. [/br][7] Kakkar AK, Mueller I, Bassand JP, et al. Risk profiles and an? tithrombotic treatment of patients newly diagnosed with atrial fibrillation at risk of stroke: perspectives from the international, observational, prospective GARFIELD registry [J]. PLoS One, 2013,8(5): 63479. [/br][8] Zhou Z, Hu D. An epidemiological study on the prevalence of atrial fibrillation in the Chinese population of mainland China [J]. J Epidemiol, 2008,18(5):209-216. [/br][9] 中华医学会心血管病分会.中国部分地区心房颤动住院病例回 顾性调查[J].中华心血管病杂志,2003,31(12): 913-916. [/br][10] Gao Q, Fu X, Wei JW, et al. Use of oral anticoagulation among stroke patients with atrial fibrillation in China: the Chi? naQUEST (Quality evaluation of stroke care and treatment) registry study [J]. Int J Stroke, 2013,8(3):150-156. [/br][11] Wann LS, Curtis AB, January CT, et al. 2011 ACCF/AHA/ HRS focused update on the management of patients with atrial fibrillation (Updating the 2006 Guideline): a report of the Amer? ican College of Cardiology Foundation/American Heart Asso? ciation Task Force on Practice Guidelines [J]. Heart Rhythm, 2012,8(1):157-176. [/br][12] Furie KL, Kasner SE, Adams RJ, et al. Guidelines for the pre? vention of stroke in patients with stroke or transient ischemic at? tack: a guideline for healthcare professionals from the american heart association/american stroke association [J]. Stroke, 2011,42(1):227-276. [/br][13] Zhou ZQ, Hu DY, Chen J, et al. An epidemiological survey of atrial fibrillation in China [J]. Zhonghua Nei Ke Za Zhi, 2004, 43(7):491-494. [/br][14] Lin S, Wu B, Hao ZL, et al. Characteristics, treatment and outcome of ischemic stroke with atrial fibrillation in a Chinese hospital- based stroke study [J]. Cerebrovasc Dis, 2011,31(5): 419-426. [/br][15] Dlott JS, George RA, Huang X, et al. National assessment of warfarin anticoagulation therapy for stroke prevention in atrial fibrillation [J]. Circulation, 2014,129(13):1407-1414. [/br][16] Kim JJ, Mohammad RA, Coley KC, et al. Use of an iPad to provide warfarin video education to hospitalized patients [J]. J Patient Saf, 2015,11(3):160-165.

备注/Memo

备注/Memo:
作者简介:马艾,本科,护师,研究方向:心血管 通信作者:马艾,E-mail:annie.kaka@163.com
更新日期/Last Update: 2015-12-27