Development and Application of a Self-management Program based on Prothrombin INR Monitoring for Patients with Cardiac Valve Replacement
Journal of Korean Academy of Nursing
;
: 554-564, 2015.
Artigo
em Coreano
| WPRIM
| ID: wpr-35605
ABSTRACT
PURPOSE:
The purpose of this study was to develop and evaluate a self-management program based on INR monitoring for patients with cardiac valve replacement.METHODS:
This program was comprised of five weekly sessions based on Sousa's Enhance-Behavior Performance Model. The first session included individual teaching, and the other four sessions included Prothrombin Time International Normalized Ratios (PT INR) self-monitoring, telephone counseling and self-management checklist recording. Participants were patients who had cardiac valve replacement. They were randomly assigned to the experimental or control group. Sixteen in the experimental group participated in the self-management program and seventeen in the control group participated in general care. Self-management knowledge, self-efficacy, self-management behavior and PT INR were measured as dependent variables. Data were analyzed using Mann Whitney U-test, t-test and ANCOVA.RESULTS:
The experimental group showed significantly higher post-test scores in self-management knowledge (t=5.86, p <.001), self-efficacy (F=18.32, p <.001), and self-management behavior (t=3.44, p =.002) compared to the control group. Also, the experimental group showed significantly higher frequency in maintaining the treatment range of PT INR compared to the control group (chi2=4.80, p =.028).CONCLUSION:
The results of the research on the self-management program based on PT INR monitoring showed that it is effective in improving self-management knowledge, self-efficacy, and self-management behavior as well as maintaining treatment range of PT INR of patients with cardiac valve replacement.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Autocuidado
/
Telefone
/
Protrombina
/
Avaliação de Programas e Projetos de Saúde
/
Conhecimentos, Atitudes e Prática em Saúde
/
Educação de Pacientes como Assunto
/
Inquéritos e Questionários
/
Desenvolvimento de Programas
/
Coeficiente Internacional Normatizado
/
Implante de Prótese de Valva Cardíaca
Tipo de estudo:
Estudos de avaliação
/
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of Korean Academy of Nursing
Ano de publicação:
2015
Tipo de documento:
Artigo
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