La terapia anticoagulante es un tratamiento utilizado clínicamente desde la década de los años 50. Actualmente y a pesar de la aparición de nuevos fármacos la warfarina sigue siendo el medicamento más utilizado. La necesidad de monitoreo frecuente, además de la interacción con fármacos y alimentos, así como la necesidad de transformar la cotidianidad de las personas que la consumen, modifican las prácticas culturales de estos pacientes, pudiendo afectar aspectos tales como la adherencia. Objetivo general: Describir las prácticas culturales transformadas por las personas pertenecientes a un programa de anticoagulación en terapia con warfarina. Metodología: Estudio cualitativo tipo micro etnografía, realizado en Bogotá, Colombia. Resultados: Se contó con la participación de 10 informantes quienes asociado al uso de warfarina transformaron prácticas culturales en torno al conocimiento, la cotidianidad y las emociones.
Objective: Describe the profile and clinical indicators of people from a domiciliary anticoagulation program in the city of Bogota, during a year of monitoring. Materials and methods: Quantitative study of descriptive scope. The population was made of 66 people from the program, who met the inclusion criteria and were cared for a year. Some of the measured variables were: type of anticoagulant, anticoagulation indications, functional compromise, risk of bleeding and time in therapeutic range. The information was obtained from monthly statistics from the program, univariate analyzed, reporting frequency distributions and ethical aspects were protected for the health research. Results: 66 patients older than 60 years of age that received Warfarin were attended and the main symptom was atrial fibrillation. The patients reached the therapeutic target in the first 9 days, achieving 70% of time in the therapeutic range, and no adverse events were presented although being at intermediate-high risk of bleeding, severe functional detriment and high comorbidity. Conclusion: The permanent monitoring of coagulation time, availability of additional controls, fast adjustments in the anticoagulation doses, health education and a direct communication channel between the patient, the family, and the healthcare team, could improve the clinical indicators of anticoagulated patients.
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