Kiến thức và tuân thủ điều trị thuốc chống đông kháng vitamin K ở bệnh nhân sau mổ thay van tim cơ học tại Trung tâm tim mạch - Bệnh viện E năm 2014

Abstract

To curb complications in patients after heart valve replacement surgery mechanics need to understand the status and treatment adherence identify factors related to adherence problems in these patients. The study used crosssectional descriptive analysis was conducted on 268 patients with postoperative mechanical heart valve replacement at Heart Centre - Hospital E to describe the situation and identify factors related to compliance anticoagulant treatment resistance and vitamin K. Analysis of data processing software and SPSS 16.0 Epidata 3.0. Analysis results showed that treatment compliance rate reached 61.6% anticoagulants; compliance rate regime diet and limiting alcohol / beer reached 47.8% and 85.1%; overall compliance rate was 42.2%. Percentage of
subjects with knowledge reaches only 30%. Study finds association between statistical significance adherence with elements of gender, level of education, while heart valve replacement, a frequency of health workers, reminders about compliance and staff Medical information explaining postoperative (p <0.05).
The study results showed the need to strengthen the work instructions, reminders, to explain to the patient regular treatment compliance, enhance the autonomy of the patient and family involvement in implementation treatment of patients after surgery.