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      Perfil sócio demográfico e clínico de pacientes em uso de anticoagulantes orais Translated title: Socio-demographic and clinical profile of patients using oral anticoagulants Translated title: El perfil socio demográficos y clínicas de los pacientes en uso de los anticoagulantes orales

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          Abstract

          Este estudo teve como objetivo investigar o perfil sócio-demográfico, clínico e laboratorial de indivíduos em seguimento ambulatorial devido ao uso de anticoagulantes orais. O estudo foi descritivo, transversal, realizado no ambulatório de anticoagulação oral de um hospital terciário do interior do estado de São Paulo. Os dados foram coletados por entrevistas e consultas aos prontuários dos pacientes. Participaram 180 sujeitos, a maioria do sexo feminino (65,6%), com idade média de 55 anos, em uso de varfarina (83,3%) há mais de 6,9 anos, devido à presença de prótese cardíaca metálica (50%). Os resultados obtidos fornecem subsídios para os enfermeiros planejarem à assistencia aos usuários de anticoagulação oral com vistas a diminuição de possíveis complicações relacionadas à terapia e ao aumento da adesão ao tratamento.

          Translated abstract

          The purpose of this study is to investigate the socio-demographic, clinical and laboratory profile of individuals in the follow-up period due to the use of oral anticoagulants. This is a descriptive study, cross performed in the clinic of oral anticoagulation in a tertiary hospital in the state of São Paulo, Brazil. Data were collected through interviews and examinations of the patients' medical records. 180 subjects participated. The results show that the most females (65.6%), with an average age of 55 years, use warfarin (83.3%) for 6.9 years or more, due to the presence of metallic prosthetic heart (50%). These results provide subsidies for nurses to plan the assistance of their patients in oral anticoagulation therapy as a way of reducing complications related to therapy and increasing adherence to treatment.

          Translated abstract

          Este estudio tiene como objetivo investigar el perfil sócio-demográfico, clínico y de laboratorio, período de seguimiento, porque las personas en el uso de los anticoagulantes orales. El estudio fue descriptivo, transversal, realizado en la clínica de anticoagulación oral en un hospital terciario en el estado de São Paulo, Brasil. Los datos fueron obtenídos a través de entrevistas y consultas con los registros médicos de los pacientes. Participaron 180 sujetos, la mayoría de las mujeres (65,6%) con edad media de 55 años, el uso de warfarina (83,3%) a lo largo de 6,9 años, debido a la presencia de prótesis metálicas corazón (50%). Los resultados proveen información para que las enfermeras plan de asistencia a los usuarios de la anticoagulación oral con el fin de reducir las complicaciones asociadas a la terapia y aumento de la adherencia al tratamiento.

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          Most cited references20

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          Resolução nº 196, de 10 de novembro de 1996. Diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos

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            Impact of adherence, knowledge, and quality of life on anticoagulation control.

            Patients receiving chronic warfarin therapy who have poor anticoagulation control are at increased risk for adverse events. However, it is unknown how adherence to warfarin, patient demographics, patient knowledge about therapy, and perceived impact of warfarin therapy on quality of life are associated with anticoagulation control. To determine the association between these patient factors and anticoagulation control in patients attending 2 anticoagulation clinics in the Bronx, New York City. A cross-sectional survey of 52 patients was conducted. The 4-item Morisky survey was used to assess self-reported adherence. Patient knowledge about warfarin therapy and the perceived impact of warfarin therapy on quality of life were determined by self-administered questionnaires. Associations between adherence, patient knowledge, impact of warfarin therapy on quality of life, and anticoagulation control were determined with t-tests, chi(2) analysis, and logistic regression. Only 14% of patients had good anticoagulation control. Adequate adherence was reported by 50% of patients and was significantly associated with good anticoagulation control (p = 0.01). Thirty-seven percent of participants had good knowledge of anticoagulation, and 19% of participants reported that warfarin negatively impacted their quality of life. Knowledge about warfarin therapy and impact of warfarin on quality of life were not significantly associated with anticoagulation control. Adherence is one of many factors that contribute to anticoagulation control. Adequate adherence, as determined by the Morisky survey, was significantly associated with anticoagulation control. Patient demographic characteristics, knowledge about warfarin therapy, and perceived impact of warfarin on quality of life were not associated with anticoagulation control.
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              CARDIO-VASCULAR DISEASES

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rgenf
                Revista Gaúcha de Enfermagem
                Rev. Gaúcha Enferm.
                Universidade Federal do Rio Grande do Sul. Escola de Enfermagem (Porto Alegre )
                1983-1447
                March 2010
                : 31
                : 1
                : 123-128
                Affiliations
                [1 ] Universidade de São Paulo Brazil
                [2 ] Universidade de São Paulo Brazil
                [3 ] Universidade Paulista Brazil
                [4 ] Universidade de São Paulo Brazil
                Article
                S1983-14472010000100017
                10.1590/S1983-14472010000100017
                d33ad0b4-47ba-48e0-bd83-2d7908b2914c

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1983-1447&lng=en
                Categories
                NURSING

                Nursing
                Anticoagulants,Cardiovascular diseases,Health profile,Epidemiology,Anticoagulantes,Enfermedades cardiovasculares,Perfil de salud,Epidemiología,Doenças cardiovasculares,Perfil de saúde,Epidemiologia

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