Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs

Shah, Syed Ghulam Sarwar; Robinson, Ian

doi:10.1186/1472-6963-11-25

Cited by 31 publications

(55 citation statements)

References 38 publications

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“…"Kısıtlılıklar" alt boyutundan alınacak en düşük puan 10 en yüksek puan ise 70'dir. "Yükler ve zorluklar" boyutu ise hasta bireyin pıhtı-önleyici tedaviye yönelik sorumluluklarıyla ilgili sorunları belirlemeye yönelik dokuz sorudan (10)(11)(12)(13)(14)(15)(16)22. ve 24. madde) oluşur.…”

Section: Gereç Ve Yöntemlerunclassified

“…[2,12,13] Yapılan bazı araştırmalarda hastanede yattığı süreçte ve taburculuk sonrasında, hastaların pıhtı-önleyici tedavi yöne-timi, ilaç etkileşimleri ve diyet konusunda bilgilerinin yetersiz olduğu, [1,[14][15][16][17][18][19] K vitamininden zengin beslenen olgularda pıhtı-önler ilaç dozunun etkisinin yetersiz olduğu, [20] hastaların kendilerini ifade etme sürecin-de güven eksikliği duydukları [19] ve kliniğe başvuru ücretleri ve ulaşım masrafları gibi finansal sorunlar yaşadıkları saptanmıştır. [21,22] Hastane randevularına uyumsuzluk, [1,23] hastaneye gitmekten hoşlanmama, laboratuvarlar arası farklı sonuçlar, sevdiği besinleri besin-ilaç etkileşmesi sonucu istediği oranda tüketeme-me, birincil hastalığın yol açtığı fiziksel ve psiko-sosyal sorunlar olarak saptanmıştır. [20,22] Yaş artışı ile birlikte sorunların özellikle de kanama komplikasyonlarının daha fazla yaşandığı, [24] pıhtı-önleyici tedaviyi yönete-medikleri ve polifarmasi sorunu yaşadıkları bildirilmiş-tir.…”

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“…[21,22] Hastane randevularına uyumsuzluk, [1,23] hastaneye gitmekten hoşlanmama, laboratuvarlar arası farklı sonuçlar, sevdiği besinleri besin-ilaç etkileşmesi sonucu istediği oranda tüketeme-me, birincil hastalığın yol açtığı fiziksel ve psiko-sosyal sorunlar olarak saptanmıştır. [20,22] Yaş artışı ile birlikte sorunların özellikle de kanama komplikasyonlarının daha fazla yaşandığı, [24] pıhtı-önleyici tedaviyi yönete-medikleri ve polifarmasi sorunu yaşadıkları bildirilmiş-tir. [19] Antikoagülan almadan yaşayan olgular bildirilse de antikoagülansız tedavide sağkalım oranlarının düşük olduğu bildirilmiştir.…”

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“…[1,19,22,29,[33][34][35][36] Hastaların bilgi düzey-lerini ve gereksinimlerini ölçebilmek için bu konuda farklı araçların geliştirildiği çalışmalar bulunmaktadır. Briggs ve ark.…”

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The validity and reliability of Turkish version of the Duke anticoagulation satisfaction scale

Yıldırım¹

2014

Turk Gogus Kalp Dama

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So nuç:Ölçeğin Türkçe formunun iç tutarlılık güvenirliği, içerik ve yapı geçerliliği açısından geçerli olduğu göste-rildi. Ölçek, pıhtı önler ilaç kullanan hastaların yaşadık-ları sorunları ve bakım gereksinimlerini değerlendirmek için sağlık profesyonellerinin kullanabileceği objektif bir araçtır.Anah tar söz cük ler: Pıhtı önler ilaçlar; hasta memnuniyeti; güve-nirlik ve geçerlik; ölçek; varfarin.Background: This study aims to evaluate the reliability and validity of the Turkish version of Duke Anticoagulation Satisfaction Scale (DASS) which was developed to assess the requirements and perceptions of patients receiving anticoagulant treatment.

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Section: Gereç Ve Yöntemlerunclassified

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The validity and reliability of Turkish version of the Duke anticoagulation satisfaction scale

Yıldırım¹

2014

Turk Gogus Kalp Dama

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“…The Internet is an easy, quick, and inexpensive platform for collecting information on any issue. Many types of available data exist on the Internet for users (4), allowing patients to obtain information about diseases and therapies themselves. Sometimes, this might include important aspects of self-diagnosis and self-management.…”

Section: Introductionmentioning

confidence: 99%

Information Quality on Developmental Dysplasia of the Hip on Turkish Websites

Ceylan¹,

Caypinar²,

Küçükkoç³

et al. 2016

JAREM

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Objective: We aimed to evaluate the reliability of Turkish information achieved from websites about developmental dysplasia of the hip using standardized scientific methods. Methods:The term "hip dislocation" term was scanned among the most commonly used three internet search engines. The contents of the 10 most frequently clicked sites were copied. These 30 sites were examined. In total, 9 same sites, 3 unrelated sites, and 4 academic sites were eliminated, and 14 sites remained. These sites were scored according to the patient information sheet prepared by the American Academy of Orthopaedic Surgeons. One point was given for every issue included and 0 point was given for no inclusion, over a total of 26 points.Results: With the search of the term "hip dislocation", 141,000 results on Google, 49,600 on Yahoo, and 46,800 on Bing were found. Results of the content points of the 14 sites that were calculated with the created standard form were determined to be an average of 13.5 points out of 26 (min: 5, max: 22, and SD: 5.02). Conclusion:We determined that the most visited sites in search engines on hip dislocation contained incomplete information. A variety of applications that aim to increase the reliability of information should be undertaken, or more studies about the development of an accreditation system for Turkish language websites should be performed. (JAREM 2016; 6: 84-7)

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Multidisciplinary Assessment

2013

Encyclopedia of Pain

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To identify factors that determine patients' intentions to use point-of-care medical devices, ie, portable coagulometer devices for self-testing of the international normalized ratio (INR) required for ongoing monitoring of blood-coagulation intensity among patients on long-term oral anticoagulation therapy with vitamin K antagonists, eg, warfarin. Methods: A cross-sectional study that applied the technology-acceptance model through a selfcompleted questionnaire, which was administered to a convenience sample of 125 outpatients attending outpatient anticoagulation services at a district general hospital in London, UK. Data were analyzed using descriptive statistics, factor analyses, and structural equation modeling. Results: The participants were mainly male (64%) and aged $ 71 years (60%). All these patients were attending the hospital outpatient anticoagulation clinic for INR testing; only two patients were currently using INR self-testing, 84% of patients had no knowledge about INR self-testing using a portable coagulometer device, and 96% of patients were never offered the option of the INR self-testing. A significant structural equation model explaining 79% of the variance in patients' intentions to use INR self-testing was observed. The significant predictors that directly affected patients' intention to use INR self-testing were the perception of technology (β = 0.92, P < 0.001), trust in doctor (β = -0.24, P = 0.028), and affordability (β = 0.15, P = 0.016). In addition, the perception of technology was significantly affected by trust in doctor (β = 0.43, P = 0.002), age (β = -0.32, P < 0.001), and affordability (β = 0.23, P = 0.013); thereby, the intention to use INR self-testing was indirectly affected by trust in doctor (β = 0.40), age (β = -0.29), and affordability (β = 0.21) via the perception of technology. Conclusion: Patients' intentions to use portable coagulometers for INR self-testing are affected by patients' perceptions about the INR testing device, the cost of device, trust in doctors/ clinicians, and the age of the patient, which need to be considered prior to any intervention involving INR self-testing by patients. Manufacturers should focus on increasing the affordability of INR testing devices for patients' self-testing and on the potential role of medical practitioners in supporting use of these medical devices as patients move from hospital to home testing.

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Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs

Cited by 31 publications

References 38 publications

The validity and reliability of Turkish version of the Duke anticoagulation satisfaction scale

The validity and reliability of Turkish version of the Duke anticoagulation satisfaction scale

Information Quality on Developmental Dysplasia of the Hip on Turkish Websites

Multidisciplinary Assessment

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