Relationship between Warfarin Related Knowledge, Self Efficacy and Medication Adherence of Patient with Prosthetic Heart Valve Replacement

The Korea Academia-Industrial cooperation Society Pub Date : 2020-01-01 DOI:10.5762/KAIS.2020.21.1.584

A. Kil, Y. Shin

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引用次数: 2

Abstract

The purpose of this study is to explore the relationship between warfarin-related knowledge, self-efficacy, and medication adherence among patients who underwent heart valve replacement surgery. The patients who underwent heart valve surgery and warfarin therapy were included in this study. The data was collected by administering questionnaires, and the data was then analyzed using the SPSS WIN 22.0 program. There was a positive relationship between warfarin-related knowledge and the adherence to medication (r=.285, p=004). Medication adherence was also positively correlated with warfarin-related knowledge (r=.250, p=.046) and self-efficacy (r=.292, p=.019) for elderly patients under 70 years of age. Further, medication adherence of elderly patients over 70 years of age was correlated with only warfarin-related knowledge (r=.358, p=.032). The results of this study show that in order to improve medication adherence, elderly people should be provided with warfarin-related knowledge through individually tailored education and nursing interventions that strengthen self-efficacy, as well as the knowledge that is needed in the elderly group under 70 years old.

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人工心脏瓣膜置换术患者华法林相关知识、自我效能与药物依从性的关系

本研究旨在探讨心脏瓣膜置换术患者华法林相关知识、自我效能感和药物依从性之间的关系。接受心脏瓣膜手术和华法林治疗的患者被纳入本研究。采用问卷调查的方式收集数据，采用SPSS WIN 22.0软件对数据进行分析。华法林相关知识与服药依从性呈正相关(r=。285, p = 004)。药物依从性与华法林相关知识呈正相关(r=。250, p=.046)和自我效能感(r=。292, p=.019)。此外，70岁以上老年患者的服药依从性仅与华法林相关知识相关(r=。358年,p = .032)。本研究结果表明，为了提高老年人的服药依从性，应通过个性化教育和加强自我效能感的护理干预，向老年人提供华法林相关知识，以及70岁以下老年人所需要的知识。

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The Korea Academia-Industrial cooperation Society

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