中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
1期
43-45
,共3页
苏江莲%林运%左惠娟%姚崇华
囌江蓮%林運%左惠娟%姚崇華
소강련%림운%좌혜연%요숭화
心房颤动%抗凝治疗%知识知晓率
心房顫動%抗凝治療%知識知曉率
심방전동%항응치료%지식지효솔
Arterial fibrillation%Anticoagulant treatment%Knowledge awareness rate
目的 了解非瓣膜性心房颤动(房颤)患者抗凝治疗知识知晓率及抗凝治疗行为,提高房颤患者抗凝治疗行为及依从性.方法 从北京市城八区选择8所三级医院和7所二级医院(社区卫生服务中心).由内科医生对门诊或病房非瓣膜房颤患者采取统一问卷调查.结果 583例非瓣膜性房颤患者43.2%知晓房颤易导致脑卒中,39.1%知晓房颤患者需要抗凝治疗.未采取抗凝治疗的患者以上知识知晓率仅为25.2%和21.8%.抗凝治疗知识主要来源于医生,占91.8%,仅13.2%来源于健康教育手册.房颤患者华法林总体服用率为18.9%,脑卒中高危房颤患者华法林服用率为18.2%.不采取抗凝治疗的主要原因是患者不知道需要抗凝治疗,占78.6%.结论 我国房颤患者抗凝治疗率低,缺乏抗凝治疗相关知识是影响抗凝行为的重要原因.房颤患者健康教育是提高抗凝治疗知识,改善抗凝治疗行为的重要措施.
目的 瞭解非瓣膜性心房顫動(房顫)患者抗凝治療知識知曉率及抗凝治療行為,提高房顫患者抗凝治療行為及依從性.方法 從北京市城八區選擇8所三級醫院和7所二級醫院(社區衛生服務中心).由內科醫生對門診或病房非瓣膜房顫患者採取統一問捲調查.結果 583例非瓣膜性房顫患者43.2%知曉房顫易導緻腦卒中,39.1%知曉房顫患者需要抗凝治療.未採取抗凝治療的患者以上知識知曉率僅為25.2%和21.8%.抗凝治療知識主要來源于醫生,佔91.8%,僅13.2%來源于健康教育手冊.房顫患者華法林總體服用率為18.9%,腦卒中高危房顫患者華法林服用率為18.2%.不採取抗凝治療的主要原因是患者不知道需要抗凝治療,佔78.6%.結論 我國房顫患者抗凝治療率低,缺乏抗凝治療相關知識是影響抗凝行為的重要原因.房顫患者健康教育是提高抗凝治療知識,改善抗凝治療行為的重要措施.
목적 료해비판막성심방전동(방전)환자항응치료지식지효솔급항응치료행위,제고방전환자항응치료행위급의종성.방법 종북경시성팔구선택8소삼급의원화7소이급의원(사구위생복무중심).유내과의생대문진혹병방비판막방전환자채취통일문권조사.결과 583례비판막성방전환자43.2%지효방전역도치뇌졸중,39.1%지효방전환자수요항응치료.미채취항응치료적환자이상지식지효솔부위25.2%화21.8%.항응치료지식주요래원우의생,점91.8%,부13.2%래원우건강교육수책.방전환자화법림총체복용솔위18.9%,뇌졸중고위방전환자화법림복용솔위18.2%.불채취항응치료적주요원인시환자불지도수요항응치료,점78.6%.결론 아국방전환자항응치료솔저,결핍항응치료상관지식시영향항응행위적중요원인.방전환자건강교육시제고항응치료지식,개선항응치료행위적중요조시.
Objective To analyze awareness rate of knowledge and behavior of anticoagulant treatment in patients with nonvalvular atrial fibrillation,so to increase the anticoagulant treatment behavior and compliance of the patients.Methods 583 patients with nonvalvular atrial fibrillation from eight general hospitals and seven community health centers lacated in eight districts in'Beijing city were questioned by physicians with the same questionnair.Results Awareness rate of knowledge about the patients with atrial fibrillation being easy to snffer stroke was 43.2%.and that about atrial fibrillation patients need anticoagulant treatment Was 39.1%.In patients without taking anticoagulant treatment,their awareness rate of above knowledge Was 25.2%and 21.8%respectively.Main resource of knowledge of anticoagulation treatment Was from doctor(91.8%),and only 13.2%Was from health education pamphlet.18.9% of patients were prescribed a warfarin treatment,and 18.2% of high risk patients for stroke were prescribed a warfarin treatment.A main reason of not taking warfarin was that the patients did not know they need anticoagulation treatment(78.6%).Conclusion The percentage of taking anticoagulant treatment in patients with atrial fibrillation is low;lake of knowledge about anticoagulant treatment was a main reason.Patients' education Was an important channel to improve the behavior of anticoagulant treatment.
