Patients' knowledge on oral anticoagulation after metal valve implantation
DOI:
https://doi.org/10.5433/anh.2022v4.id44036Keywords:
Cirurgia Torácica, Conhecimento, Anticoagulantes, Enfermagem Perioperatória, Procedimentos Cirúrgicos Cardíacos.Abstract
Aim: evaluate the knowledge on oral anticoagulation of patients after their first heart surgery with metallic valve implantation. Method: This is a cross-sectional descriptive study with a quantitative approach, in which 32 patients aged over 18 years who underwent implantation of metallic heart prostheses in a teaching hospital were interviewed. Data collection occurred between January 2019 and March 2020, by means of an interview contemplating an instrument to assess knowledge on oral anticoagulant, whose minimum expected score is zero and maximum is 32 points, with higher scores indicating greater knowledge. Patients who did not present cognitive conditions were excluded. Results: the majority of females lived with a partner and was in an inactive work situation, with a mean age of 49.9 years. The mean score of general knowledge was 19.8 points, far from the values that indicate greater knowledge. The average score for specific knowledge was 3.0 points, which shows greater knowledge. Conclusion: A deficit was observed in the knowledge regarding the coagulation control test and the procedures to discontinue the use of anticoagulants, which reinforces the need for careful monitoring and patient orientation during treatment.
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References
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19. Kottmaier M, Hettich I, Deutsch M, Badiu C, Krane M, Ruediger L et al. Quality of Life and Anxiety in Younger Patients after Biological versus Mechanical Aortic Valve Replacement. Thorac Cardiovasc Surg. 2017; 65(3):198-205. DOI: http//dx.doi.org/10.1055/s0036-1584907
20. Molina FT, Zanusso GJ. Anticoagulantes cumarínicos: ações, riscos e monitoramento da terapêutica. Saúde e Biologia. 2014;9(2):S75-82. Disponível em: http://revista2.grupointegrado.br/revista /index.php/sabios2/article/view/1263
21. Leal PM, Amante LN, Girondi JBR, Nascimento ERP, Magalhães ALP. Building solutions for the safety of the patient with heart disease using warfarin: a qualitative study. Texto contexto enferm. 2020;29:e20180002. DOI: https://doi.org/10.1590/1980-265x-tce-2018-0002
22. Simonetti, SH; Mancussi, AC; Bianchi, F. Preditores clínicos intervenientes na adesão de usuários de anticoagulante orais. Enferm Foco. 2019;10:S02-06. Disponível em: http://ver ista .cofen.gov .br/index .php/ enfermagem/article/view/1359
23. Simonetti SH, Faro ACM, Bianchi ERF. Escore de Adesão para Usuários de Anticoagulantes Orais. Int J Cardiovasc Sci. 2018;31(4):S383-392. DOI: https://doi.org/10.5935/2359-4802.20180028
24. Cavalcante Júnior JL, Nobre MN, Sena RG, Cavalcante JWS, Magalhães RT, Luna FMS. Anticoagulação em gestantes com prótese valvar mecânica. Rev Eletro Acervo da Saúde. 2019;20:S01-06. DOI: https://doi.org/10.25248/reas.e446.2019
2. Ramos AIO, Accorsi TAD, Jerônimo AD. Insuficiência mitral. In: Magalhães CC. et al. Tratado de cardiologia SOCESP. Barueri: Manole; 2015. p. 791-796.
3. Fernandes AMS, Pereira FS, Bitencourt LS, Pereira NAV, Bastos GB, Durães AR et al. A influência da escolha da prótese valvar sobre a mortalidade intra-hospitalar no pós-operatório em pacientes submetidos à cirurgia valvar. Rev Bras Cir Cardiovasc. 2014;29(4):559-63. Disponível em: https://www.scielo .br/ sc ielo.php?script=sci_abstract&pid=S0102-76382014000400013&lng=es&nrm=iso&tlng=pt
4. Lorga FAM, Azmus AD, Soeiro AM, Quadros AS, Avezum JA, Marques AC et al. Diretrizes brasileiras de antiagregantes plaquetários e anticoagulantes em cardiologia. Arq Bras Cardiol. 2013;101 (suppl 3:S01–95). Disponível em: http://publicacoes.cardiol.br/consenso/2013/Diretriz_Antiagregantes_Anticoagulantes.asp
5. Valvulopathies ATI. Terapia anticoagulante nas valvopatias. Rev Soc Cardiol Estado de São Paulo. 2017; 27(3): 228-33.
6. Terra-Filho M, Menna-Barreto SS. Recomendações para o manejo da tromboembolia pulmonar, 2010. J bras pneumol. 2010;36(Suppl1):S01-68. Disponível em: https://www.scielo.br/pdf/jbpneu/v36s1/v36s1a01.pdf
7. Rocha HT, Rabelo E, Aliti G, Souza EN. Knowledge of Patients with Mechanical Valve Prostheses Concerning Chronic Oral Anticoagulant Therapy. Rev Latino-Am Enfermagem. 2010;18(4):S696-702. Disponível em: https://www.scielo.br/ scielo.php?scri pt=sci_arttext& pid=S0104-11692 01000 04 00006
8. Cao H, Wu T, Chen W, Fu J, Xia X, Zhang J. The effect of warfarin knowledge on anticoagulation control among patients with heart valve replacement. Int J Clin Pharm. 2020;42(3):861-70. DOI: https://doi.org/10.1007/s11096-020-01043-y
9. Pfeiffer E. A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients. Journal of the American Geriatrics Society. 1975; 23(10):433-41. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1532-5415.1975.tb00927.x
10. Silva LN. Comparação de três instrumentos para avaliação da fadiga em pacientes com insuficiência cardíaca. Universidade de São Paulo [Dissertação] 2016. [cited 2018 jun 1]. Disponível em: https://www.teses. usp.br/teses%20/disponiveis/22/22132/tde-26012017-103129/publico/%20LUMA% 20NASCIMEM TOSILVA.pdf
11. Garcia FSS, Cunha DPT, Manzato RO, Bolela F, Barbetta PA, Dantas RS. Assessing Knowledge of Oral Anticoagulant Therapy: Construction and Validation. Journal of Nursing Meas. 2018;26(1): S53-73. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29724279/
12. Parys, M, Kowalczuk-Wieteska A, Kulik H, Majchrzyk I, Zembala M. A novel survey examining the level of knowledge about anticoagulant and anti-infectious prophylaxis in patients after mechanical cardiac valve implantation. Kardiologia Polska (Polish Heart Journal). 2019; 77(2):225-227.
13. Figueirêdo TR, Nascimento MO, Silveira MMBM, Costa CRB, Queiroga AV, Bezerra SMMSB. Conhecimento de pacientes em acompanhamento ambulatorial sobre a terapia de anticoagulação oral. Rev pesqui cuid Fundam. 2016;8(1):3883-92. Disponível em: http://www.seer.unirio.br/index.php%20/cuidado%20fundamental/article/view/5162/pd f_1806
14. Kakkar N, Kaur R, John M. Outpatient oral anti-coagulation management: an audit of 82 patients. J Assoc Physicians India. 2005;52:868–72. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16459526/
15. Braz NJ. Fatores determinantes da infecção do sítio cirúrgico em pacientes submetidos a cirurgias de revascularização do miocárdio e implantes de válvulas cardíacas. Universidade Federal de Minas Gerais [Tese] 2017 [cited 2020 mai 12]. Disponível em: https://repositorio.ufmg.br/bitstream/1843/ANDO-AMUNG8/1 /dissert acao_ de_mestra do_nelma_de_jesus_braz_ 2017.pdf
16. World Health Organization. The economics of tobacco and tobacco control. Geneva (Suiça): World Health Organization; 2016. Disponível em: https://cancercontrol .cancer.gov /brp/tcrb/monographs%20/21/docs/m21_complete%20.pdf
17. Serra IC, Ribeiro LCAN, Gemito MLGP, Mendes FRP. Manejo terapéutico de los usuarios con terapia anticoagulante oral. Enferm glob. 2016;15(41):S10-19. Disponível em: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412016000100002&lng =pt
18. Harter K, Levine M, Henderson SO. Anticoagulation Drug Therapy: A Review. West J Emerg Med. 2015;16(1):S11-17. Disponível em: https://www.ncbi.nlm.nih.gov/%2 0pmc/ %20ar %20ticles /PMC4307693/pdf/wjem-16-11.pdf
19. Kottmaier M, Hettich I, Deutsch M, Badiu C, Krane M, Ruediger L et al. Quality of Life and Anxiety in Younger Patients after Biological versus Mechanical Aortic Valve Replacement. Thorac Cardiovasc Surg. 2017; 65(3):198-205. DOI: http//dx.doi.org/10.1055/s0036-1584907
20. Molina FT, Zanusso GJ. Anticoagulantes cumarínicos: ações, riscos e monitoramento da terapêutica. Saúde e Biologia. 2014;9(2):S75-82. Disponível em: http://revista2.grupointegrado.br/revista /index.php/sabios2/article/view/1263
21. Leal PM, Amante LN, Girondi JBR, Nascimento ERP, Magalhães ALP. Building solutions for the safety of the patient with heart disease using warfarin: a qualitative study. Texto contexto enferm. 2020;29:e20180002. DOI: https://doi.org/10.1590/1980-265x-tce-2018-0002
22. Simonetti, SH; Mancussi, AC; Bianchi, F. Preditores clínicos intervenientes na adesão de usuários de anticoagulante orais. Enferm Foco. 2019;10:S02-06. Disponível em: http://ver ista .cofen.gov .br/index .php/ enfermagem/article/view/1359
23. Simonetti SH, Faro ACM, Bianchi ERF. Escore de Adesão para Usuários de Anticoagulantes Orais. Int J Cardiovasc Sci. 2018;31(4):S383-392. DOI: https://doi.org/10.5935/2359-4802.20180028
24. Cavalcante Júnior JL, Nobre MN, Sena RG, Cavalcante JWS, Magalhães RT, Luna FMS. Anticoagulação em gestantes com prótese valvar mecânica. Rev Eletro Acervo da Saúde. 2019;20:S01-06. DOI: https://doi.org/10.25248/reas.e446.2019
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Published
2022-02-10
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Galli da Silveira, C. G. da S., Algarte Fernandes, P., Maier, S. R. de O., & Dessotte, C. A. M. (2022). Patients’ knowledge on oral anticoagulation after metal valve implantation. Advances in Nursing and Health, 4. https://doi.org/10.5433/anh.2022v4.id44036
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