[Educational program to improve knowledge and therapeutic range for self-controlled anticoagulated patients].

Autor:	Romero-Arana A; Servicio Andaluz de Salud, Distrito Sanitario Costa del Sol, Málaga, España; Instituto de Investigaciones Biomédicas de Málaga (IBIMA-Bionand), Málaga, España., González-Rodríguez MJ; Unidad de Tratamiento Anticoagulante, Hospital Valle del Guadalhorce, Cártama, Málaga, España., Sánchez-Vega P; Unidad de Tratamiento Anticoagulante, Hospital Valle del Guadalhorce, Cártama, Málaga, España., García-Iglesias JJ; Departamento de Sociología, Trabajo Social y Salud Pública, Facultad de Ciencias del Trabajo, Universidad de Huelva, Huelva, España., Gómez-Salgado J; Departamento de Sociología, Trabajo Social y Salud Pública, Facultad de Ciencias del Trabajo, Universidad de Huelva, Huelva, España; Programa de Posgrado en Seguridad y Salud, Universidad Espíritu Santo, Guayaquil, Ecuador. Electronic address: salgado@uhu.es., Romero A; Instituto de Investigaciones Biomédicas de Málaga (IBIMA-Bionand), Málaga, España; Departamento de Enfermería y Podología, Facultad de Ciencias de la Salud, Universidad de Málaga, Málaga, España.
Jazyk:	Spanish; Castilian
Zdroj:	Atencion primaria [Aten Primaria] 2024 Nov 12; Vol. 57 (5), pp. 103139. Date of Electronic Publication: 2024 Nov 12.
DOI:	10.1016/j.aprim.2024.103139
Abstrakt:	Introduction: Oral anticoagulation Self-control programs have demonstrated efficiency over recent years. Objective: The aim of the study was to evaluate the level of knowledge and coagulation level of self-controlled anticoagulated patients after an educational program. Design: A quasi-experimental study, pre-test and post-test. SITE: Health area of the Hematology Service of the Virgen de la Victoria University Hospital (Málaga, Spain). Participants: Self-monitored anticoagulated patients. Interventions: Educational intervention about oral anticoagulation knowledge focused on patients that will initiate the self-control program in our consultation. Main Measurements: To check the patient's adherence and coagulation level, we evaluated the Rosendaal Time in Therapeutic Rank (TTRr), both before and after the intervention. Results: 145 patients have been included from 2016 to 2022 with a mean age of 49.18 years (SD 17.24). The mean score for the first test about knowledge was 14.61 (SD 3.26) and the mean score for the second test was 17.01 (SD 2.14) (p <0.001). Values before and after interventions were also statistically significant (67.46 vs 70.53, p<0.001). Conclusions: The results showed that knowledge improved after the training session and the TTR values are better after the training which appears to be an effective action to improve the knowledge about oral anticoagulation in these patients. (Copyright © 2024 The Authors. Publicado por Elsevier España S.L.U. All rights reserved.)
Databáze:	MEDLINE
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