• Atencion primaria · Nov 2024

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

    • Adolfo Romero-Arana, María José González-Rodríguez, Patricia Sánchez-Vega, Juan Jesús García-Iglesias, Juan Gómez-Salgado, and Adolfo Romero.
    • Servicio Andaluz de Salud, Distrito Sanitario Costa del Sol, Málaga, España; Instituto de Investigaciones Biomédicas de Málaga (IBIMA-Bionand), Málaga, España.
    • Aten Primaria. 2024 Nov 12; 57 (5): 103139103139.

    IntroductionOral anticoagulation Self-control programs have demonstrated efficiency over recent years.ObjectiveThe aim of the study was to evaluate the level of knowledge and coagulation level of self-controlled anticoagulated patients after an educational program.DesignA 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).ParticipantsSelf-monitored anticoagulated patients.InterventionsEducational intervention about oral anticoagulation knowledge focused on patients that will initiate the self-control program in our consultation.Main MeasurementsTo check the patient's adherence and coagulation level, we evaluated the Rosendaal Time in Therapeutic Rank (TTRr), both before and after the intervention.Results145 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).ConclusionsThe 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.

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