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目的提高华法林抗凝治疗的有效性和安全性,探讨精准护理在规范管理心房颤动(房颤)患者华法林抗凝治疗中的应用。方法选取医院收治的房颤患者128例为研究对象,随机分为对照组和观察组,每组64例。对照组采用常规抗凝宣教,观察组采用路径式健康宣教。比较2组患者治疗依从性及治疗效果。结果 2组患者出血倾向或栓塞发生率无统计学意义(P>0.05);干预后观察组INR达标情况、服药依从性及定期监测INR的行为优于对照组,差异有统计学意义(P<0.01)。结论精准护理对规范房颤患者的抗凝管理切实可行。
Objective To improve the effectiveness and safety of warfarin anticoagulant therapy and to discuss the application of precision nursing in the warfarin anticoagulation therapy in patients with atrial fibrillation (AF). Methods A total of 128 patients with atrial fibrillation admitted to hospital were selected as study subjects and randomly divided into control group and observation group with 64 cases in each group. The control group received routine anticoagulation education, and the observation group adopted path-type health education. Comparing the treatment compliance and treatment effect of the two groups. Results The incidence of bleeding or embolism in the two groups was not statistically significant (P> 0.05). After the intervention, the compliance of INR, medication compliance and regular monitoring of INR in the observation group were better than those in the control group (P < 0.01). Conclusion Precise nursing is feasible for regulating anticoagulation in patients with atrial fibrillation.