Evaluation of Oral Anticoagulant Usage Satisfaction in Home Care Patients Using Warfarin
Journal Title: Journal of Academic Research in Medicine - Year 2021, Vol 11, Issue 1
Abstract
Objective: Warfarin is the most commonly used oral anticoagulant for the prevention and treatment of thromboembolic diseases. However, the difficulty of treatment management adversely affects patient satisfaction. The objective of this study is to measure the satisfaction of using warfarin among home care patients and determine the factors affecting their satisfaction levels. Methods: This descriptive study was performed with patients who used warfarin and registered at the Home Health Care Services Unit of a tertiary hospital between May 2017 and November 2017. Importantly, the sociodemographic and clinical features of the patients were determined. Patients’ satisfaction with drug use was evaluated using the Duke Anticoagulant Satisfaction Scale (DASS). Results: The ages of 97 patients included in the study ranged from 19 to 92 years; moreover, 71.1% (n=69) of the patients were women. In total, 41.2% (n=40) of the patients have had haemorrhagic events during the use of warfarin. The DASS mean score of the patients was 57.67±14.56, 20.46±5.89 for the limitations with the treatment, 21.54±7.46 for the hassles and burdens, and 15.67±4.87 for the positive impacts. It was determined that the number of additional chronic diseases and bleeding conditions while using warfarin had a significant effect on the total score and subscale scores of DASS (for total score, p=0.046; for subscale scores, p<0.001) and reduced satisfaction. Conclusion: This study found that satisfaction with warfarin use was not poor in home care patients, but the history of bleeding and the number of additional chronic diseases worsened the treatment satisfaction. It is believed that their satisfaction can be increase, if counselling interventions are planned according to the needs of patients.
Authors and Affiliations
Samet Akgün, Sibel Tunç Karaman, Sonay Özdemir, Okcan Basat
Keywords
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- EP ID EP694473
- DOI 10.4274/jarem.galenos.2021.3732
- Views 85
- Downloads 0
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