Therapeutic management of users with oral anticoagulant therapy

Authors

  • Isaura da Conceição Cascalho Serra Universidade de Évora
  • Lurdes da Conceição Afonso Nobre Ribeiro Master’s Degree in Community Nursing; Degree in Nursing from Ponte de Sôr Medical Centre; Portugal
  • Maria Laurência Grou Parreirinha Gemito PhD in Sociology, Assistant Professor at the University of Évora – S. João de Deus School of Nursing, Researcher at the Health Sciences and Technology Research Centre of the University of Évora; Portugal
  • Felismina Rosa Parreira Mendes PhD in Sociology. Coordinating Professor of the S. João de Deus School of Nursing of the University of Évora, Portugal. Researcher at the Centre for Research and Studies in Sociology of the Lisbon University Institute (CIES/ISCTE-IUL), Portugal
DOI: https://doi.org/10.6018/eglobal.15.1.206711
Keywords: Community Health Nursing, Patient Care, Disease Management, Therapeutics, Anticoagulants

Abstract

Objective: Characterize the users of oral anticoagulant therapy; to find out about treatment regimen management and to estimate International Normalized Ratio (INR) assessment costs.

Methodology: Descriptive, exploratory, cross-sectional study with 83 users of oral anticoagulant therapy from a primary health care centre in Alentejo (Portugal). Data collection occurred with the application of a questionnaire designed for the purpose.

Results: It was found that 50.6% reported that they did not know what clotting is; 49.4%, what oral anticoagulants are; 63.9%, what the complications are of oral anticoagulant therapy. Only 27.7% know the foods that interfere with this therapy, and 51.8% mentioned that they knew what to do in the event of injury, tooth extraction or surgery. INR assessment costs in the laboratory are higher than in the primary health care centre.

Conclusions: Gaps in knowledge regarding coagulation, food interference and treatment regimen were identified. The decentralisation of nursing appointments enables costs to be reduced, improves accessibility and management of the treatment regimen

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Author Biography

Isaura da Conceição Cascalho Serra, Universidade de Évora

Professora Adjunta na Escola Superior de Enfermagem S. João de Deus, da Universidade de Évora
Published
09-01-2016
How to Cite
[1]
Cascalho Serra, I. da C. et al. 2016. Therapeutic management of users with oral anticoagulant therapy. Global Nursing. 15, 1 (Jan. 2016), 10–38. DOI:https://doi.org/10.6018/eglobal.15.1.206711.
Issue
Vol. 15 No. 1 (2016): #41 - Enero
Section
Clínica

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