Programa educativo para la mejora de conocimientos y del rango terapéutico para pacientes anticoagulados autocontrolados

Abstract

Introduction

Oral anticoagulation Self-control programs have demonstrated efficiency over recent years.

Objective

The aim of the study was to evaluate the level of knowledge and coagulation level of self-controlled anticoagulated patients after an educational program.

Design

A quasi-experimental study, pre-test and post-test.

Site

Health area of the Hematology Service of the Virgen de la Victoria University Hospital (Málaga, Spain).

Participants

Self-monitored anticoagulated patients.

Interventions

Educational intervention about oral anticoagulation knowledge focused on patients that will initiate the self-control program in our consultation.

Main measurements

To check the patient's adherence and coagulation level, we evaluated the Rosendaal Time in Therapeutic Rank (TTRr), both before and after the intervention.

Results

145 patients have been included from 2016 to 2022 with a mean age of 49.18 years (SD 17.24). The mean score for the first test about knowledge was 14.61 (SD 3.26) and the mean score for the second test was 17.01 (SD 2.14) (p < 0.001). Values before and after interventions were also statistically significant (67.46 vs 70.53, p< 0.001).

Conclusions

The results showed that knowledge improved after the training session and the TTR values are better after the training which appears to be an effective action to improve the knowledge about oral anticoagulation in these patients.