CAJ | 학술논문

目的：研究并探讨护理干预对心脏瓣膜置换术后患者抗凝药物使用的依从性的影响。方法选取在我院进行心脏瓣膜置换术的100例患者作为研究对象，按照护理方法的不同，将这100例患者分为对照组50例和观察组50例。对照组患者进行常规护理，观察组患者在其基础上进行健康教育和预防护理。对比观察对照组患者和观察组患者对抗凝药物使用的认知程度、药物使用的依从性、不良反应的发生情况。结果与对照组相比，观察组患者对抗凝药物使用的认知程度、依从性均明显较高（P＜0.05），其不良反应发生率明显较低（P＜0.05）。结论在患者进行心脏瓣膜置换术后，对其进行抗凝药物使用的健康教育和预防护理，能够有效提高患者的药物使用依从性，降低不良反应的发生率。
목적：연구병탐토호리간예대심장판막치환술후환자항응약물사용적의종성적영향。방법선취재아원진행심장판막치환술적100례환자작위연구대상，안조호리방법적불동，장저100례환자분위대조조50례화관찰조50례。대조조환자진행상규호리，관찰조환자재기기출상진행건강교육화예방호리。대비관찰대조조환자화관찰조환자대항응약물사용적인지정도、약물사용적의종성、불량반응적발생정황。결과여대조조상비，관찰조환자대항응약물사용적인지정도、의종성균명현교고（P＜0.05），기불량반응발생솔명현교저（P＜0.05）。결론재환자진행심장판막치환술후，대기진행항응약물사용적건강교육화예방호리，능구유효제고환자적약물사용의종성，강저불량반응적발생솔。
Objective To study and explore influence of nursing intervention on patients' compliance of anticoagulants after cardiac valve replacement.Methods 100 patients who received cardiac valve replacement in our hospital were selected as research objects and they were allocated to the control group and the observation group according to nursing methods, with 50 in each. Patients in the control group were received routine nursing while patients in the observation group were received health education and preventive nursing on the basis of routine nursing. Cognitive degree, compliance and adverse reactions of anticoagulants of patients in the control group and the observation group were compared. Results By comparison, cognitive degree and compliance of anticoagulants of patients in the observation group were both higher than those of the control group (P<0.05) while the incidence of adverse reactions was lower than the control group (P<0.05).ConclusionAfter cardiac valve replacement, patients receiving health education and preventive nursing of anticoagulants medication can effectively improve patients’ compliance of medication and reduce incidence of adverse reactions.