Evaluation of Oral Anticoagulant Usage Satisfaction in Home Care Patients Using Warfarin

Journal Title: Journal of Academic Research in Medicine - Year 2021, Vol 11, Issue 1

Abstract

Objective: Warfarin is the most commonly used oral anticoagulant for the prevention and treatment of thromboembolic diseases. However, the difficulty of treatment management adversely affects patient satisfaction. The objective of this study is to measure the satisfaction of using warfarin among home care patients and determine the factors affecting their satisfaction levels. Methods: This descriptive study was performed with patients who used warfarin and registered at the Home Health Care Services Unit of a tertiary hospital between May 2017 and November 2017. Importantly, the sociodemographic and clinical features of the patients were determined. Patients’ satisfaction with drug use was evaluated using the Duke Anticoagulant Satisfaction Scale (DASS). Results: The ages of 97 patients included in the study ranged from 19 to 92 years; moreover, 71.1% (n=69) of the patients were women. In total, 41.2% (n=40) of the patients have had haemorrhagic events during the use of warfarin. The DASS mean score of the patients was 57.67±14.56, 20.46±5.89 for the limitations with the treatment, 21.54±7.46 for the hassles and burdens, and 15.67±4.87 for the positive impacts. It was determined that the number of additional chronic diseases and bleeding conditions while using warfarin had a significant effect on the total score and subscale scores of DASS (for total score, p=0.046; for subscale scores, p<0.001) and reduced satisfaction. Conclusion: This study found that satisfaction with warfarin use was not poor in home care patients, but the history of bleeding and the number of additional chronic diseases worsened the treatment satisfaction. It is believed that their satisfaction can be increase, if counselling interventions are planned according to the needs of patients.

Authors and Affiliations

Samet Akgün, Sibel Tunç Karaman, Sonay Özdemir, Okcan Basat

Keywords

Related Articles

Complications of Cervical Disc Prosthesis Dislocation: A Retrospective Clinical Study

Objective: The most commonly used method for the surgical treatment of cervical disc herniation (CDH) is anterior disc excision with Smith-Robinson’s approach. Following the excision of pathological disc space, disc pros...

Is Mucopolysaccharidosis a Cause of Sleep and Speech Disorders? Report of Four Cases?

Mucopolysaccharidosis type III (MPS 3) is an autosomal recessive disorder caused by a deficiency of one of the four enzymes involved in the lysosomal degradation of heparan sulfate (HS). It is often unrecognized or misdi...

Digoxin Levels and It’s Stability in Different Blood Collection Tubes

Objective: Digoxin is monitored because of its narrow range of therapeutic doses and risk of toxicity. Thus, we aimed to evaluate the effect of different blood collection tubes on digoxin levels and its stability. Metho...

Supero-inferior Thyroidectomy Technique in Papillary Thyroid Carcinoma: Preliminary Results of Thirteen Cases with Intraoperative Nerve Monitoring

Objective: This study aimed to investigate the novel use of a surgical technique using intraoperative nerve monitoring (IONM) technology in conjunction with supero-inferior thyroid dissection technique for selected cases...

Optimal Target in Deep Brain Stimulation for Parkinson’s Disease: Comparison of Atlas and Magnetic Resonance Imaging-based Stereotactic Targeting

Objective: We aimed to compare magnetic resonance imaging (MRI) and atlas measurements to determine the target coordinates of globus pallidus internus (GPi) and subthalamic nucleus (STN) during stereotactic neurosurgery....

Download PDF file
  • EP ID EP694473
  • DOI 10.4274/jarem.galenos.2021.3732
  • Views 93
  • Downloads 0

How To Cite

Samet Akgün, Sibel Tunç Karaman, Sonay Özdemir, Okcan Basat (2021). Evaluation of Oral Anticoagulant Usage Satisfaction in Home Care Patients Using Warfarin. Journal of Academic Research in Medicine, 11(1), -. https://www.europub.co.uk/articles/-A-694473