A nurse-led randomised controlled trial of a structured educational programme for patients starting warfarin therapy

被引：2

作者：

Moss, R. C. ^{[1
]}

Lowe, G. C. ^{[2
]}

Frampton, C. A. ^{[3
]}

Revell, P. ^{[2
]}

机构：

[1] Gloucestershire Royal Hosp, Dept Haematol, Gloucester, England

[2] Stafford Hosp, Dept Haematol, Stoke On Trent, Staffs, England

[3] Stafford Hosp, Dept Haematol, Anticoagulat, Stoke On Trent, Staffs, England

来源：

JOURNAL OF RESEARCH IN NURSING | 2014年 / 19卷 / 05期

关键词：

anticoagulation; patient education; warfarin;

D O I：

10.1177/1744987113515261

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aim: To investigate the effect of a randomised controlled trial of a nurse-led structured educational programme compared to standard care on patient knowledge when starting anticoagulant therapy with warfarin. Methods: 45 patients commencing warfarin during an inpatient admission were randomised into either a control group receiving `usual' care, or an experimental group with structured counselling and provision of an educational video. Identical questionnaires assessing knowledge of anticoagulation therapy were applied at discharge and again 3 months later. Results: Patients receiving a structured educational approach had significantly better knowledge about their therapy both at hospital discharge and at 3 months post discharge (p = < 0.001 and p = 0.038 respectively). Secondary outcomes measured also showed a higher level of patient satisfaction (p = 0.017) and time in target INR range (56.7% versus 48.1%) in the educational arm. Conclusions: A formal and structured nurse-led educational package at the initiation of anticoagulant treatment with warfarin treatment improves patient knowledge.

引用

页码：402 / 412

页数：11

共 28 条

[1]

[Anonymous], 1998, Br J Haematol, V101, P374

[2] Consensus guidelines for coordinated outpatient oral anticoagulation therapy management [J].

Ansell, JE ;

Buttaro, ML ;

Thomas, IV ;

Knowlton, CH ;

Becker, DM ;

Bussey, HI ;

Corey, R ;

Gums, JG ;

Hughes, R ;

Jacobson, A ;

Kirchain, W ;

Kuhn, K ;

Loken, S ;

McCain, J ;

Haley, JA ;

Oertel, LB ;

Thrasher, K ;

Triplett, DA ;

Whitcomb, H ;

Wittkowsky, AK ;

Zarus, SA .

ANNALS OF PHARMACOTHERAPY, 1997, 31 (05) :604-615

[3] Determinants of compliance with anticoagulation: A case-control study [J].

Arnsten, JH ;

Gelfand, JM ;

Singer, DE .

AMERICAN JOURNAL OF MEDICINE, 1997, 103 (01) :11-17

[4] Guidelines on oral anticoagulation (warfarin): third edition - 2005 update [J].

Baglin, TP ;

Keeling, DM ;

Watson, HG .

BRITISH JOURNAL OF HAEMATOLOGY, 2006, 132 (03) :277-285

[5] KIDCLOT©: The importance of validated educational intervention for optimal long term warfarin management in children [J].

Bauman, M. E. ;

Black, K. ;

Kuhle, S. ;

Wang, L. ;

Legge, L. ;

Callen-Wicks, D. ;

Mitchell, L. ;

Bajzar, L. ;

Massicotte, M. P. .

THROMBOSIS RESEARCH, 2009, 123 (05) :707-709

[6]

Bird CA, 1990, SURG NURSE, V3, P22

[7]

Bowles L, 1996, Br J Nurs, V5, P156

[8]

Briggs Amber L, 2005, Res Social Adm Pharm, V1, P40, DOI 10.1016/j.sapharm.2004.12.002

[9]

Clarence M, 1992, Nurs Stand, V7, P24

[10] Comparison of the quality of oral anticoagulant therapy through patient self-management and management by specialized anticoagulation clinics in the Netherlands - A randomized clinical trial [J].

Gadisseur, APA ;

Breukink-Engbers, WGM ;

van der Meer, FJM ;

van den Besselaar, AMH ;

Sturk, A ;

Rosendaal, FR .

ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (21) :2639-2646

← 1 2 3 →