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Online Publishing Date:
08 / 01 / 2017

 


The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis.


Abstract
Introduction: Although, the effects of patient education on the effective anticoagulant management, among patients undergoing heart valve replacement with mechanical prosthesis, have been reported, the evidence of this association remains inconclusive.
Aim: To investigate the effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement.
Methods: A quasi-experimental study was conducted. Patients were allocated to a) a control group (n=100), including those who received the usual education on oral anticoagulants, and b) an intervention group (n=100), with those who attended a nurse-led education program, postoperatively, including verbal courses and written material through an education booklet. We investigated the incidence of hemorrhagic and thromboembolic episodes 3 months after patients’ hospital discharge. Patients’ socio-demographic and clinical characteristics were obtained using a structured short questionnaire and through the medical and nursing patient records review. Patients’ follow up data were collected via phone interviews.
Results: The baseline characteristics were similar for both groups. Patients who received nurse-led education on oral anticoagulant therapy had a significantly lower 3-month incidence of hemorrhagic episodes compared with controls (1% vs 14%, p<0.001). However, we found insignificant differences on the 3-month incidence of thromboembolic episodes between the two groups.
Conclusion: The implementation of a nurse-led education program on oral anticoagulants management failed to show effectiveness on the 3-month incidence of thromboembolic episodes, however, this educational intervention seems to be superior to the usual patient education, leading to significantly lower occurrence of hemorrhagic episodes.

Key words: Anticoagulants, complications, heart valve replacement, patient education, patient outcomes


 
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How to Cite this Article
Pubmed Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis. The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement. Int J Surg Med. 2017; 3(1): 14-20. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program

Web Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis. The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement. https://www.ejos.org/?mno=249155 [Access: February 20, 2024]. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program

AMA (American Medical Association) Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis. The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement. Int J Surg Med. 2017; 3(1): 14-20. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program


Vancouver/ICMJE Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis. The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement. Int J Surg Med. (2017), [cited February 20, 2024]; 3(1): 14-20. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program


Harvard Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis (2017) The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement. Int J Surg Med, 3 (1), 14-20. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program


Turabian Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis. 2017. The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement. International Journal of Surgery and Medicine, 3 (1), 14-20. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program


Chicago Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis. "The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement." International Journal of Surgery and Medicine 3 (2017), 14-20. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program


MLA (The Modern Language Association) Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis. "The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement." International Journal of Surgery and Medicine 3.1 (2017), 14-20. Print. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program


APA (American Psychological Association) Style

Rokeia Eltheni, Konstantinos Giakoumidakis, Hero Brokalaki, Nikolaos V. Fotos, Christos Charitos, Ilias Samiotis, George Fildissis (2017) The effect of a nurse-led patient education program for oral anticoagulant therapy on the incidence of thromboembolic and hemorrhagic episodes after surgical heart valve replacement. International Journal of Surgery and Medicine, 3 (1), 14-20. doi:10.5455/ijsm.anticoagulant-therapy-nurse-educational-program


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