ORAL ANTİKOAGÜLAN KULLANAN HASTALARIN RİSKLİ DAVRANIŞLARININ BELİRLENMESİ VE YENİLİKÇİ ÇÖZÜMLER

Öz

Çalışmanın amacı, oral antikoagülan kullanan hastaların ilaç kullanımıyla ilgili riskli davranışlarını belirlemek ve böylelikle hastaların ihtiyaçlarına yönelik gerekli çözüm önerilerinde bulunabilmektir. Bu çalışma prospektif, tanımlayıcı ve kesitsel olarak kardiyoloji ile kalp damar cerrahi polikliniklerinde gerçekleştirildi. Çalışmanın verilerinin toplandığı 2 aylık sürede polikliniğe başvuran oral antikoagülan kullanan hastalardan çalışmaya katılmayı kabul edenlerden veriler toplandı. Çalışmaya katılan hastaların varfarin tedavisi dışında antikoagülan tedai kullanımı görülmemiştir ve katılımcıların %57,8’i (n:59) 65 yaşın üzerindedir. Çalışmaya katılan hastaların çoğunun tedaviye bağlı kanama, ilaç-gıda etkileşimleri ve INR değerlerini bilmedikleri, oral antikoagülan hakkında bilgi eksikliği nedeniyle ilaçları eksik veya aşırı doz kullandıkları belirlenmiştir. Doktorlar ve hemşireler, yüksek riskli ilaç grubundan olan oral antikoagülanları kullanan hastaların eğitiminde önemli rol oynamaktadırlar. Cep telefonu uygulamaları hastaların ilaç alım saatlerini hatırlatmak için kullanılabilir.

Anahtar Kelimeler

• Hasta eğitimi
• Hasta güvenliği
• Mobil sağlık
• Varfarin

DETERMINATION OF DRUG-RELATED RISK BEHAVIOURS OF PATIENTS USING ORAL ANTICOAGULANTS AND INNOVATIVE SOLUTIONS

Öz

The aim of this study is to gather valuable information about the drug-related risk behaviours of patients to be exposed to use the oral anticoagulants so that we provide necessary solutions founded on the needs of patients. This study was conducted as a prospective, descriptive and cross-sectional study in the cardiology and cardiovascular services of outpatient clinics. The study data related to the patients subjected to use the oral anticoagulants during the 2-month period were collected. There seemed no anticoagulant treatment except for warfarin treatment among the patients participated in the study, where %57.8 (n:59) of participates were over 65 years old. It was determined that most of the patients in the study reported that they have no knowledge about the findings of bleeding, do not know the drug/food interactions and INR values, used missing or overdose the drugs due to the lack of knowledge about oral anticoagulant use. The physicians and nurses play a great role on the education of patients using the oral anticoagulants that take in the medicines with high-risk. Information systems such as mobile phone applications and computer applications can also be used to remind the patients.

Anahtar Kelimeler

• Mobile health
• Patient education
• Patient safety
• Warfarin

Kaynakça

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