首页|术后心理干预联合华法林抗凝治疗心脏瓣膜置换患者的效果观察

术后心理干预联合华法林抗凝治疗心脏瓣膜置换患者的效果观察

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目的 观察心脏瓣膜置换患者术后心理干预联合华法林抗凝治疗的效果.方法 随机选取2015年1月~2016年9月丽水市中心医院收治的心脏瓣膜置换术患者56例作为研究对象,通过心理干预和术后跟踪回访讨论华法林的用量以及并发症发生情况.结果 56例患者均成功有效回访,出现并发症的患者有5例(8.92%),其中出血占3例(5.35%),栓塞占2例(3.57%),正常51例(91.07%),出血患者在凝血酶原时间(PT)、华法林的用量以及国际标准化比值(INR)明显高于栓塞患者和正常患者,差异有统计学意义(P<0.05);给予心理干预后患者对华法林使用的依从性明显提升.结论 在心脏瓣膜置换患者术后需要长期持续应用华法林进行抗凝治疗,将国际标准化比值保持在1.8~2.5范围内则能够满足抗凝要求并减少并发症的发生率,术后给予心理护理后,能够有效提升使用华法林的依从性,有利于患者的治疗.
Observation of postoperative psychological intervention combined with warfarin anticoagulation in patients with heart valve replacement
Objective To observe the effect of postoperative psychological intervention combined with warfarin anticoagulation in patients undergoing cardiac valve replacement. Methods A total of 56 patients with heart valve replacement treated in our hospital from January 2015 to September 2016 were randomly selected as the research object.The amount of warfarin and the incidence of complications were discussed by psychological intervention and follow-up. Results 56 patients were successful visit, complications in 5 cases (8.92%), which accounted for 3 cases (5.35%) of bleeding, embolism accounted for 2 cases (3.57%), normal in 51 cases (91.07%), hemorrhage in prothrombin time, dosage of Hua Falin and the international normalized ratio was significantly higher than that of patients with embolism and normal patients, the differences was statistically significant (P<0.05); psychological intervention on the compliance of patients after Hua Falin used significantly. Conclusion In patients with heart valve replacement after long-term warfarin anticoagulation, the international normalized ratio remains in the range of 1.8~2.5 can meet the requirement of anticoagulant and reduce the incidence of complications, psychological care after the surgery, can effectively improve the compliance of warfarin, is conducive to the treatment of patients with.

warfarinanticoagulant therapypsychological intervention

陈美玲、丁巧玲

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丽水市中心医院 心胸外科,浙江 丽水 323000

华法林 抗凝治疗 心理干预

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(10)
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