Yıl: 2020 Cilt: 28 Sayı: 1 Sayfa Aralığı: 13 - 22 Metin Dili: İngilizce DOI: 10.5152/FNJN.2020.19020 İndeks Tarihi: 20-10-2020

The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy

Öz:
Aim: Warfarin, which is widely used for preventing thromboembolic events, can cause major and minor side effects. The aim of this trial is to evaluate the effect of nurse home-support program on self-management of patients receiving warfarin therapy.Method: A randomized, controlled trial was conducted using 36 selected and eligible patients who had 12-month home-visit follow-ups. The bleeding risk score, potential and preventable warfarin-related complications, patients’ self-management behaviors, and anticoagulation satisfaction were examined. Data analyses were performed using parametric and nonparametric tests, split-plot analysis of variance, multiple regression analysis, and Bland and Altman plots test.Results: The bleeding risk score was an effective variable for assessing patient satisfaction (p<0.05). The self-management group demonstrated decreased bleeding risk at the end of the trial. The Duke Anticoagulation Satisfaction Scale mean score represents a statistically significant improvement in the self-management group (p<0.05). Patients’ self-management behaviors improved significantly in the self-management group compared to the control group (p<0.05). The number of international normalized ratio values within the target range was significantly higher in the self-management group (174/432) than in the control group (82/432). The self-management group showed significant reductions in both thromboembolic events.Conclusion: This trial demonstrated evidence that use of nursing home care is effective in developing self-management behaviors, improving patient satisfaction, and preventing complications in patients receiving warfarin therapy. This model could be easily adopted and implemented by home care services and health organizations.
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APA YILDIRIM J, bayık temel a (2020). The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. , 13 - 22. 10.5152/FNJN.2020.19020
Chicago YILDIRIM Julide Gulizar,bayık temel ayla The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. (2020): 13 - 22. 10.5152/FNJN.2020.19020
MLA YILDIRIM Julide Gulizar,bayık temel ayla The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. , 2020, ss.13 - 22. 10.5152/FNJN.2020.19020
AMA YILDIRIM J,bayık temel a The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. . 2020; 13 - 22. 10.5152/FNJN.2020.19020
Vancouver YILDIRIM J,bayık temel a The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. . 2020; 13 - 22. 10.5152/FNJN.2020.19020
IEEE YILDIRIM J,bayık temel a "The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy." , ss.13 - 22, 2020. 10.5152/FNJN.2020.19020
ISNAD YILDIRIM, Julide Gulizar - bayık temel, ayla. "The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy". (2020), 13-22. https://doi.org/10.5152/FNJN.2020.19020
APA YILDIRIM J, bayık temel a (2020). The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. Florence Nightingale journal of nursing (Online), 28(1), 13 - 22. 10.5152/FNJN.2020.19020
Chicago YILDIRIM Julide Gulizar,bayık temel ayla The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. Florence Nightingale journal of nursing (Online) 28, no.1 (2020): 13 - 22. 10.5152/FNJN.2020.19020
MLA YILDIRIM Julide Gulizar,bayık temel ayla The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. Florence Nightingale journal of nursing (Online), vol.28, no.1, 2020, ss.13 - 22. 10.5152/FNJN.2020.19020
AMA YILDIRIM J,bayık temel a The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. Florence Nightingale journal of nursing (Online). 2020; 28(1): 13 - 22. 10.5152/FNJN.2020.19020
Vancouver YILDIRIM J,bayık temel a The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy. Florence Nightingale journal of nursing (Online). 2020; 28(1): 13 - 22. 10.5152/FNJN.2020.19020
IEEE YILDIRIM J,bayık temel a "The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy." Florence Nightingale journal of nursing (Online), 28, ss.13 - 22, 2020. 10.5152/FNJN.2020.19020
ISNAD YILDIRIM, Julide Gulizar - bayık temel, ayla. "The Effect of Nurse Home-Support Program on Self-Management of Patients Receiving Oral Anticoagulation (Warfarin) Therapy". Florence Nightingale journal of nursing (Online) 28/1 (2020), 13-22. https://doi.org/10.5152/FNJN.2020.19020