Estado de saúde e adesão ao tratamento de pacientes atendidos em ambulatório especializado em anticoagulação oral

Bolela, Fabiana

doi:10.11606/t.22.2013.tde-26092013-193814

Cited by 3 publications

(15 citation statements)

References 47 publications

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“…In the meantime, there are factors that can interfere with adherence to treatment, such as advanced age, socioeconomic factors, fear of possible complications, low level of education, the need for the drug intake every day, recurrent ambulatory monitoring, food and drug interaction, self-perceived health status [3,24] corroborating the findings of this research, where clinical and socioeconomic factors were found to be more prevalent.…”

Section: Discussionsupporting

confidence: 73%

“…[21] According to the World Health Organization, the nonadherence to long-term therapies in developed countries is around 50%, and this percentage in developing countries is higher. [22] A study conducted at the state hospital in Ribeirão Preto assessing the adherence to treatment of OAT in patients treated at a specialized anticoagulation outpatient, two months after hospital discharge, through an instrument called measure of adherence to treatment (MAT), all participants classified as compliant [3], in contrast with the results of this review.…”

Section: Discussionmentioning

confidence: 99%

“…[23] Thus, it is assumed that the adherence of the participants of the above study [3] can be explained by the short time analyzed regimen.…”

Section: Discussionmentioning

confidence: 99%

“…It is noteworthy that individual aspects, such as instability unexplained and comorbidities should establish other intervals between returns and assessments. [3] These barriers are added when considering the factors associated with the health service, as the service is provided, receiving visits from family health team, patient-professional communication, the orientation of patients about the risks and benefits of treatment, among others. [24] Some measures have been adopted to try to reverse the situation to improve adherence to therapy, being essential to establish reliable relationships between the user and professionals, as well as clarity of the recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…This care can cause changes in the lifestyle of the patients since there are changes in eating habits and the peculiarities inherent to the therapy, as the habit of daily intake of the drug and the need for monitoring of anticoagulation range in health services. [3] Given that this monitoring occurs for an extended period, it is essential the patient adherence to the therapeutic process prevent the emergence of possible complications and ensure a safe treatment, being an important factor to be considered together with the associated factors that can interfere with this process. [3] Facing all these care demands that the treatment with OAT generates, there is the role of the health professionals, especially the nurses, being an extremely important subject in promoting OAT therapy guidelines, essential for the adherence of these patients and therefore their quality of life.…”

Section: Introductionmentioning

confidence: 99%

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Adherence to therapy with oral anticoagulants and associated factors: an integrative review

et al. 2016

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

“…[23] Thus, it is assumed that the adherence of the participants of the above study [3] can be explained by the short time analyzed regimen.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adherence to therapy with oral anticoagulants and associated factors: an integrative review

et al. 2016

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Efeito do acompanhamento telefônico na qualidade de vida relacionada à saúde de pacientes nos primeiros seis meses de uso da varfarina: ensaio clínico aleatorizado

Manzato¹

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Agradeço primeiramente e imensamente a Deus, por me dar a força, a inteligência e a coragem necessárias para a realização desse trabalho. Agradeço aos meus pais, Cláudia e Antônio Carlos e ao meu irmão, Neto, por acreditarem em mim e por todo o incentivo durante esses longos anos de trabalho. Vocês são minha fortaleza e minha inspiração. Amo vocês! Agradeço a minha orientadora, Profa Dra Rosana Aparecida Spadoti Dantas, a qual tornou esse trabalho possível e nunca mediu esforços para que ele fosse desenvolvido da melhor maneira possível. Além disso agradeço pela amizade, o carinho e o sentimento de "mãe" que sempre teve por mim. Você com certeza, sempre será meu exemplo, não só na vida profissional, mas pela pessoa maravilhosa que és. Vou sentir muita saudade dos nossos cafezinhos! Agradeço a Profa Dra Lídia Aparecida Rossi, pelo acolhimento carinhoso desde o meu primeiro dia na Escola de Enfermagem, pela amizade que construímos ao longo desses anos, por todo o ensinamento e colaboração no meu trabalho e também por me apresentar uma orientadora incrível. Você além de ser meu exemplo profissional e pessoal, é com certeza minha inspiração de como ser elegante! Agradeço minha amiga, Débora Cunha, por estar sempre ao meu lado e nunca medir esforços para que eu conseguisse realizar esse trabalho. Sua companhia, sua alegria e sua amizade foi fundamental em todos esses anos amiga. E claro, que permaneça sempre assim! Agradeço minha amiga Elizabete Melo, simplesmente por existir, por ser essa parceira incrível desde o meu primeiro dia de aula na pós-graduação e por todos os momentos felizes que já vivemos em todos esses anos e também por aqueles em que me ajudou a levantar sempre que eu precisei. Você é muito especial! Minha querida, Bete. Agradeço a minha amiga e professora, Daniele Alcalá Pompeo, aquela sem a qual eu jamais imaginaria fazer um doutorado, seguir uma carreira acadêmica. Obrigada por me despertar para isso e por acreditar em mim, por me proporcionar a oportunidade de realizar esse trabalho, e por ser sempre tão querida. O meu carinho e gratidão por você, são imensos. Agradeço a Profa Dra Márcia Aparecida Ciol, pela colaboração no meu trabalho e por todos os ensinamentos nesses anos de doutorado. Sempre é um prazer recebê-la em nossa Escola. RESUMO MANZATO, R.O. Efeito do acompanhamento telefônico na qualidade de vida relacionada à saúde de pacientes nos primeiros seis meses de uso da varfarina: ensaio clínico aleatorizado. 2018. 116 p. Tese (Doutorado)

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Self-perceived quality of life of primary antiphospholipid syndrome patients using vitamin K antagonist

Vaz

Mazetto

Vasconcelos

et al. 2021

Lupus

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Purpose Primary antiphospholipid syndrome (PAPS) is a chronic autoimmune disorder clinically characterized by thromboembolic events or obstetric complications. Prolonged anticoagulation therapy with vitamin K antagonists (VKA) is the treatment of choice for PAPS patients with thrombosis. However, the efficacy of VKA therapy depends on laboratory monitoring, dose adjustment, adequate lifestyle and adherence to treatment. Difficulties with VKA therapy can affect patients’ self-perceived health related quality of life (HRQOL). This study aims to evaluate PAPS patients' HRQOL, therapy adherence and knowledge of treatment. Methods A general Medical Outcome Study Short Form-36 (SF-36) and the Duke Anticoagulation Satisfaction Scale (DASS) were used to access APS-patients self-perceived HRQOL. Treatment adherence was measured by the Treatment Measure Adhesion (TMA) – oral anticoagulant version instrument, and knowledge of VKA treatment was measured using the MedTake test. Results 66 PAPS patients using VKA were assessed. 63% of them were female; the mean age was 41.9 years old, approximately 60% had unprovoked venous thrombosis and one third of the patients had recurrent thrombotic events. The most impacted domain of DASS was “psychological impacts” and the factors associated to anticoagulation related poor HRQOL were: female sex, presence of arterial thrombosis and INR lability. Using the SF-36 instrument, PAPS-patients self-perceived HRQOL was poorer than that of the general Brazilian population and was associated with female sex and presence of cardiovascular risk factors. Conclusion Despite the high adherence to treatment and knowledge of VKA therapy, self-perceived HRQOL is poor in patients with PAPS and is mainly affected by VKA therapy. Searching for better treatment options is warranted.

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Estado de saúde e adesão ao tratamento de pacientes atendidos em ambulatório especializado em anticoagulação oral

Cited by 3 publications

References 47 publications

Adherence to therapy with oral anticoagulants and associated factors: an integrative review

Adherence to therapy with oral anticoagulants and associated factors: an integrative review

Efeito do acompanhamento telefônico na qualidade de vida relacionada à saúde de pacientes nos primeiros seis meses de uso da varfarina: ensaio clínico aleatorizado

Self-perceived quality of life of primary antiphospholipid syndrome patients using vitamin K antagonist

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