摘要
目的观察房颤患者应用华法林抗凝治疗的临床过程,探讨其护理要点。方法回顾356例房颤患者住院期间服用华法林抗凝治疗的观察与护理经过。结果 356例患者住院期间均能够按时按量服用华法林,其中228例反映刷牙时牙龈易出血和(或)皮肤采血部位止血时间较前延长,无1例患者发生血尿、便血、呕血、脑出血、脑栓塞等并发症。结论健康教育是提高房颤患者口服华法林抗凝治疗依从性、保障患者安全的重要手段,教育的重点在于饮食及服药指导,定期监测国际标准化比值及出血的自我观察。
Objective To discuss the nursing points for anticoagulant therapy through observing the clinical course of atrial fibrillation patients who applicated with warfarin.Methods Review the observation and nursing process of 356 atrial fibrillation patients who took warfarin.Results 356 patients were able to take warfarin with orders,228 patients demonstrated bleeding gums when brushing teeth and/or the longer hemostasia time of the inserition point,none of them had the complication of hematuria,hematochezia,hematemesis,cerebral hemorrhage,or cerebral embolism.Conclusions Health education is an important means to improve the adherence and ensure patients safety in oral warfarin anticoagulant treatment for atrial fibrillation patients.The focus of the education is on diet,medication guidance,monitoring INR on time and self-observation of haemorrhage.
出处
《实用临床医药杂志》
CAS
2011年第2期11-13,共3页
Journal of Clinical Medicine in Practice
关键词
心房颤动
抗凝
护理
atrial fibrillation
anticoagulant therapy
nursing
