自我管理教育对非瓣膜病性心房颤动患者华法林抗凝依从性的影响

摘要

Abstract：Objective To investigate the effect of selfmanagement education on warfarin anticoagulation compliance of patients with nonvalvular atrial fibrillation. Methods A total of 100 patients with nonvalvular atrial fibrillation were randomly divided into intervention group and control group, 50 cases in each group. During the period of hospitalization, the control group received routine health education, while the intervention group received routine health education combined with selfmanagement education. Family interview was used to assess the warfarin anticoagulation compliance of two groups 3 months after hospital discharge. Results The patients without other diseases and treated with anticoagulation education had significantly higher scores of anticoagulation compliance than the patients with other diseases and without anticoagulation education (P0.01). Scores of anticoagulation compliance 3 months after hospital discharge in both groups were significantly higher than those on admission (P0.01). After selfmanagement education, the scores of anticoagulation compliance in the intervention group were significantly higher than those in the control group (P0.01). Conclusion Selfmanagement education can improve the warfarin anticoagulation compliance in patients with nonvalvular atrial fibrillation.