Oral anticoagulant treatment – Evaluating the knowledge of patients admitted in physical medicine and rehabilitation units
| Autor: | A. Janoly-Dumenil, Jacques Luauté, M.M. Plauchu, F. Caillet, K. Loiseau, P.-O. Sancho, Sophie Jacquin-Courtois, D. Boisson, Gilles Rode, Catherine Rioufol, C. Bourne, S. Ciancia |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Vitamin K medicine.drug_class Anticoagulants oraux medicine.medical_treatment MEDLINE Pharmacist Administration Oral Self Medication Food-Drug Interactions Drug toxicity Physical medicine and rehabilitation Pharmacotherapy Patient Education as Topic Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine International Normalized Ratio Prospective Studies Adverse effect Prospective cohort study Aged Inpatients Rehabilitation business.industry Anticoagulant Connaissances Anticoagulants Self car Middle Aged Physical and Rehabilitation Medicine Knowledge Iatrogénie business Hospital Units Éducation thérapeutique Self-medication |
| Zdroj: | Annals of Physical and Rehabilitation Medicine. 54(3):172-180 |
| ISSN: | 1877-0657 |
| DOI: | 10.1016/j.rehab.2011.02.007 |
| Popis: | Introduction While numerous therapeutic education programs exist in physical medicine and rehabilitation (PM&R), they rarely concern pharmacological treatments. Nevertheless, drugs prescribed during a hospital stay can have a significant risk of adverse events. Vitamin K antagonists (VKA) are among them. Objective of the study To assess patients’ knowledge on their oral anticoagulant treatment before their hospital discharge. Methods Fifty patients were enrolled in this prospective, monocenter study. Their level of knowledge was assessed by a semi-structured interview between the pharmacist and the patients and/or their caregivers. Results Seventy percent of patients were able to give the name of the drug they were taking, 82% could explain its effect and finally, 24% of patient knew their INR target values. Twenty-two percent of patients were able to describe the symptoms in case of overdose and what to do in that case. Forty percent of patients were aware of food interactions and 60% of self-medication risks. The patient's knowledge and behavior acquired during their hospital stay are not enough to guarantee a safe treatment management upon discharge. Based on this study, therapeutic patient education sessions were implemented. Conclusion These results suggest that specific drug therapy management sessions should be developed as part of PM&R's therapeutic education programs for patients. |
| Databáze: | OpenAIRE |
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