非瓣膜性心房颤动患者抗凝治疗知识知晓率及治疗行为调查分析

目的 了解非瓣膜性心房颤动(房颤)患者抗凝治疗知识知晓率及抗凝治疗行为,提高房颤患者抗凝治疗行为及依从性.方法 从北京市城八区选择8所三级医院和7所二级医院(社区卫生服务中心).由内科医生对门诊或病房非瓣膜房颤患者采取统一问卷调查.结果 583例非瓣膜性房颤患者43.2%知晓房颤易导致脑卒中,39.1%知晓房颤患者需要抗凝治疗.未采取抗凝治疗的患者以上知识知晓率仅为25.2%和21.8%.抗凝治疗知识主要来源于医生,占91.8%,仅13.2%来源于健康教育手册.房颤患者华法林总体服用率为18.9%,脑卒中高危房颤患者华法林服用率为18.2%.不采取抗凝治疗的主要原因是患者不知道需要抗凝治疗,占78.6%.结论 我国房颤患者抗凝治疗率低,缺乏抗凝治疗相关知识是影响抗凝行为的重要原因.房颤患者健康教育是提高抗凝治疗知识,改善抗凝治疗行为的重要措施.

Awareness rate of knowledge and behavior of anticoagulant treatment in patients with nonvalvular atrial fibrillation

Objective To analyze awareness rate of knowledge and behavior of anticoagulant treatment in patients with nonvalvular atrial fibrillation,so to increase the anticoagulant treatment behavior and compliance of the patients.Methods 583 patients with nonvalvular atrial fibrillation from eight general hospitals and seven community health centers lacated in eight districts in'Beijing city were questioned by physicians with the same questionnair.Results Awareness rate of knowledge about the patients with atrial fibrillation being easy to snffer stroke was 43.2%.and that about atrial fibrillation patients need anticoagulant treatment Was 39.1%.In patients without taking anticoagulant treatment,their awareness rate of above knowledge Was 25.2%and 21.8%respectively.Main resource of knowledge of anticoagulation treatment Was from doctor(91.8%),and only 13.2%Was from health education pamphlet.18.9% of patients were prescribed a warfarin treatment,and 18.2% of high risk patients for stroke were prescribed a warfarin treatment.A main reason of not taking warfarin was that the patients did not know they need anticoagulation treatment(78.6%).Conclusion The percentage of taking anticoagulant treatment in patients with atrial fibrillation is low;lake of knowledge about anticoagulant treatment was a main reason.Patients' education Was an important channel to improve the behavior of anticoagulant treatment.