【摘要】 目的探讨通过不同的健康教育指导方法对下肢深静脉血栓形成出院患者服用抗凝药物华法林治疗疗效的影响。方法 2013年1月至2014年9月期间,将64例下肢深静脉血栓形成治疗出院(出院时患者INR值均达标,均需院外口服华法林抗凝治疗)的患者按照不同的健康教育指导方法随机分为对照组、实验组,对照组32例出院患者进行出院时常规的口服华法林抗凝的健康教育及发放《华法林抗凝治疗教育手册》,实验组32例在对照组的基础上发放出院随访表及给予每周1-2次电话回访综合指导健康教育。6个月后对所有患者进行回访调查服药的疗效。结果 2组下肢深静脉血栓形成患者出院后抗凝治疗疗效比较,实验组患者INR达标率86.33%,抗凝不良事件发生率3.13%,抗凝治疗依从性96.88%,对照组患者INR达标率63.13%,抗凝不良事件发生率21.88%,抗凝治疗依从性56.25%,经x~2检验,差异有统计学意义(P<0.05),实验组患者其疗效明显高于对照组。结论下肢深静脉血栓形成患者出院后在常规的指导基础上发放随访表及电话回访综合的健康教育可降低华法林抗凝治疗风险,提高疗效,具有广泛积极的推广意义。更多还原

【Abstract】 Objective This thesis is designed to explore the impact of the deep venous thrombosis discharged patients’ taking anticoagulant warfarin therapy on the efficacy through different health education guiding methods. Methods 64 discharged patients(required to taking warfarin therapy out of hospital) were divided randomly into control group and experimental group according to different health education guiding methods during January 2013 to September 2014. The 32 patients in control group were guided to take the conventional warfarin therapy and given Warfarin Therapy Education Manual when they discharged, while the 32 patients in experimental group, based on the control group, were given the discharged follow-up forms and telephone interviews once or twice a week to guide health education. Then we visited all the patients and investigated the efficacy 6 months later. Outcome After comparing the warfarin therapy of the two groups, we found that the percentage of INRs were 86.33% and 63.13% in the experimental group and in the control group,respectively.The complications related to warfarin were 3.13% and 21.88% in the experimental and control group,respectively.The Patient compliance were 96.88% and 56.25% in the two groups respectively. The curative rates of the two groups were tested by χ~2 and their differences are statistically significant(P<0.05). The results indicate that the efficacy of the experimental group was significantly higher than that of the control group. Conclusion For patients with deep venous thrombosis, it can lower the risk of warfarin therapy and improve its efficacy through comprehensive health education of giving regular guidance, handing out follow-up tables and hosting telephone interviews together. This kind of health education has the widely spreading significance.更多还原