聚焦解决护理模式在房颤患者华法林治疗管理健康教育中的应用

摘要

目的：探讨聚焦解决护理模式在房颤患者华法林治疗管理健康教育中的应用。方法对100例住院房颤患者的服药依从性、监测国际标准化比值依从性、国际标准化比值达标率、并发症情况及再次栓塞事件发生率进行比较分析。结果健康教育后研究组患者心房颤动华法林抗凝自我护理知识知晓率及华法林抗凝同意率显著高于对照组（P＜0．05），心房颤动抗凝管理量表知晓率显著高于对照组（P＜0．01），服药依从性、监测国际标准化比值依从性、国际标准化比值达标率均显著优于对照组（P＜0．01），出血并发症及再次栓塞事件均显著少于对照组（P＜0．05或0．01）。结论聚焦解决护理模式可有效提高房颤患者华法林抗凝自我管理能力，提高治疗依从性。%Objective To explore the application of solution‐focused nursing approach (SFNA) in warfarin therapy for atrial fibrillation (AF) patients .Methods Drug compliance ,international normalized ratio (INR) compliance ,INR standardized rate ,complications and the incidence of re‐embolism events were compared in 100 hospitalized AF patients .Results After health education understanding rate of self‐care knowledge of AF warfarin anticoagulation and consent rate to warfarin anticoagulation (P<0 .05) and the understanding rate of AF warfarin anticoagulation management scale (P<0 .01) were significantly higher , drug compliance ,INR compliance and INR standardized rate better (P<0 .01) ,and complications and re‐embolism events fewer (P<0 .05 or 0 .01) in research than in control group .Conclusion The SFNA ap‐plied in health education to AF patients undergoing warfarin therapy could effectively improve their self‐management abilities and treatment compliance .