147例心脏机械瓣膜置换术后患者INR监测依从性的调查分析.pdfVIP

6 现代l临床护理(Modem Clinical Nursing)201 I.I0 (l) 147例心脏机械瓣膜置换术后患者INR 监测依从性的调查分析 李雪梅 1 ，许 .*2 (l首都医科大学附属北京安贞民院，北京， 1 创)()29; 2 北京协和眼学院，北京， 1 【削25) [呻摘要町] 囚的 了解 l阳4衍7 例心脏饥械瓣艘置换术后患者罔陈标F准食化比f航商缸(in削lt阳t 针对+攸世步开fJi展毒健版教禽商.士作扭提吉供依据俨 7方y法 逃烨卒卒L 院 2∞5 年 1 月-斗2佣9 年 lη2 月 14们7 例心脏机械瓣膜冒霞E换水后患喜者E. 采用臼行设计闷卷 迸行电话随访的方法.了解患革者苦术后对 I川NR 监测的依从性。箱s巢爬 14们7 例心脏机械瓣膜置键E换术后您者 I削N民监测依从性的总体状况为:依 从你好占 49.0% ，依从性经占 5 1.011岛。影响依从性的:t要因素为患者掌探 1NR 监测的知识(P O.∞1) ，患者的性别、年龄、文化程度、经济 状况、病粮对 IN院监测依从位元影响(均 P 0.05) 结论 心脏机械瓣膜键换术后患者 JNR 监测依从性较恙，与其掌握的 INR 监测相关 知识水平有关，护士应强化相关知识的健康教育.提高患者对 INR 监测的依从性。 [关键词] 心脏机械瓣膜冒冒换术;同际标准化比俏:依从性;健康教育 [中图分类号] R473.6 [文献标识码] A [文章编号) 1671四8283(2011 )Ol-{)(脚州 [001] 10.3969/j.issn. 1671-8283.2011刷.ω [Abs仿act] Obj优创ve To provide the evidence for the health educalion in palients wíth mechanical valve replacemenl ，配cordingωthe analysis of compliance of INR moniloring. Meth叫s 147 patients unde鸣。ing mechanical valve 肥placement during January 2∞5 to December 2仪沟 were randomly selecled from our hospital datab舶队 叽ley were ínlervi阳ed on lel叩hone 10 complete the 回lf-desi伊ed 耶酬tionnaíre. Results Among the 147 patienls , compliance wíth INR monitoring w翩翩isfactory in 49.0% and un删isfaclory in 5 1.0%. Gender , age. education , economic status and COUI睛。f di盹唰e were not si伊lificantly 翩socialed with the compliance wíth INR , but their knowledge about INR monitoring w剧 si伊1ificantly (P O.∞门. Condωions 叽1e compliance wilh INR moniloring in patients undergoing mechanical valve replacement is relatively unsatisfactory , which is relat叫 to their deficiency of knowledge about INR monitoring. 币le enhanced health education on the kn棚ledge is nec酬ary for improved compliance of INR monitoring. [Key words] 阳tients 怕也 mechanical valve re