【摘要】 目的探讨多媒体影像抗凝教育对边疆地区心脏瓣膜置换术后患者抗凝治疗依从性的影响。方法对218例接受抗凝药物治疗的住院瓣膜置换术后患者采用集体授课及鼓励看书自学的方式,实施心脏瓣膜置换术后抗凝教育培训。结果受试者在教育培训前后的抗凝知识掌据程度和自我管理能力评分比较差异显著(P<0.05)。接受教育后,患者的抗凝知识及自我管理能力明显提高,受试者对服用抗凝药物的认识和接受抗凝药物治疗的态度有明显改善。32例未能电话随访的患者中有2例出现血栓形成。结论边疆地区的患者文化水平普遍较低,故患者对以图像为主的多媒体教学方式能较好接受,对文字教育的接受程度较低。教育培训是提高患者治疗依从性和自我管理能力的有效途径。更多还原

【Abstract】 Objective To study the influence of the multimedia video health education about anticoagulation on the dependence of patients with heart valve prosthesis. Methods The multimedia video health education about anticoagulation was used among 218 patients with heart valve prosthesis, and then observe the c dependence of them. Results The dependence after the health education about anticoagulation was significant better than that of before the health education, P<0.05. The ability of self-control among the patients was also significant better than that of before the health education. Conclusion The multimedia video health education about anticoagulation is an effective method to improve the dependence among patients with heart valve prosthesis.更多还原