Do patients with mechanical heart valves have the appropriate knowledge regarding warfarin therapy and can they adhere to the correct dosage?

Korkmaz, Fatma Demir; Alcan, Aliye Okgün; Karacabay, Kevser

doi:10.5606/tgkdc.dergisi.2015.10390

Cited by 7 publications

(15 citation statements)

References 14 publications

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“…Similar results were reported by korkmaz et al (2015) who found that university graduates had higher level of knowledge related to OAC therapy [23] . Many researchers supported our results, as they found correlations between patients' knowledge about OAC, and their level of education [33,34,35] .…”

Section: Discussionsupporting

confidence: 90%

“…OAC -food interaction is critical issue that nurses should instruct their patients about. Our findings indicated that the majority of patients had low knowledge related to diet rich in vitamin K. korkmaz et al (2015) , and Hu et al (2006) found similar finding, as the majority of their patients had poor knowledge regarding nutrition and vitamin K sources [23,28] . Similar findings were reported by Henn et al (2008) who found that the majority of patients had low knowledge about the influence of diet on OAC [31] .…”

Section: Discussionsupporting

confidence: 81%

“…Nurses never educated their patients regarding OAC usage. In this context, korkmaz et al (2015) found that nurses instructed the majority of their patients about OAC, and added that patient education regarding medication is the main responsibility of nurses [23] . However, Abd ElNaby et al (2014) reported that doctors and nurses usually neglect patients' education related to OAC because of lack of their time, and the overwhelming nature of education from patients' point of view [20] .…”

Section: Discussionmentioning

confidence: 99%

“…The minimum score patients could receive was 0 while the maximum was 38. Then the total scores were evaluated and put into one of three categories:  High knowledge (≥75%)  Moderate knowledge (50<75%) [23][24][25] .It included 6 questions focused on monitoring INR test, and forgetting, delaying, or doubling the drug dose. Questions were answered as yes and No and scored one point for yes and zero point for No.…”

Section: Subjectsmentioning

confidence: 99%

“…In addition. nurses are responsible for screening their patients for any medication allergies before initiation of treatment, then, monitor the effectiveness of the therapy, patient's therapy adherence, and potential side effects [20,22,23] .So, this study aims to determine the knowledge and adherence to oral anticoagulant therapy among patients with mechanical heart valve prosthesis.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Knowledge and Adherence to Oral Anticoagulant Therapy among Patients with Mechanical Heart Valve Prosthesis

Sharaf¹,

Ibrahim²,

Elhamami³

2017

IOSR JNHS

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Subjectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Knowledge and Adherence to Oral Anticoagulant Therapy among Patients with Mechanical Heart Valve Prosthesis

Sharaf¹,

Ibrahim²,

Elhamami³

2017

IOSR JNHS

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Retrospective investigation of anticoagulant complications in long term after mechanical heart valve replacement surgery in Turkey

Kankaya

Bilik

Gencpinar

2020

ircmj

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Background: Patients with mechanical heart valve replacement surgery (MHVRS) should be followed up in terms of prosthetic valve-related and open heart surgery complications. This study aimed to determine the anticoagulant complications in long term in patients with MHVRS. Methods: This retrospective and descriptive study was conducted in a university hospital, İzmir, Turkey. The data were collected from July to December 2019. In total, 73 patients referring for regular check-ups to the hospital with intervals not exceeded more than 90 days, and those who had international normalized ratio (INR) measurements for January-April-July-October 2018 were included in this study. Results: The mean age of the patients was obtained at 58.98±12.89 years, and 53.4% (n=39) of the cases were male. Moreover, the mean follow-up period was estimated at 65.98±28.47 months. According to the results, complications developed in 60 patients (82.2%). The first hospitalized unit was the emergency department. The factors affecting the development of complications after MHVRS were evaluated, and a difference was found regarding gender (X2=6.18, P=0.013), comorbidities (X2=25.58, P=0.018), and monthly referral for regular check-ups to the hospital (X2=5.20, P=0.023). There was no relationship between the INR levels and the development of complications. Furthermore, the results of evaluating the factors affecting the number of hospitalizations after MHVRS revealed that monthly referral to hospital for check-ups (t=3.18, P=0.002) and history of previous valve surgery (Z=201.00, P=0.03) affected the number of hospitalizations. Conclusions: It was observed that patients frequently refer to the emergency department and struggled with various complications. Moreover, it was found that the patients had frequent bleeding and refer to the emergency service repeatedly. Accordingly, there is a need for interventional studies to reduce postoperative complications and provide the therapeutic INR level.

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Mechanical Heart Valve Surgery Patients’ Experience with Warfarin: A Qualitative Study

Kankaya¹,

Bilik²

2022

cjms

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Do patients with mechanical heart valves have the appropriate knowledge regarding warfarin therapy and can they adhere to the correct dosage?

Cited by 7 publications

References 14 publications

Knowledge and Adherence to Oral Anticoagulant Therapy among Patients with Mechanical Heart Valve Prosthesis

Knowledge and Adherence to Oral Anticoagulant Therapy among Patients with Mechanical Heart Valve Prosthesis

Retrospective investigation of anticoagulant complications in long term after mechanical heart valve replacement surgery in Turkey

Mechanical Heart Valve Surgery Patients’ Experience with Warfarin: A Qualitative Study

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