Training of patients for self-management of oral anticoagulant therapy: standards, patient suitability, and clinical aspects.

Abstract:

:Self-control and self-management of oral anticoagulant therapy have become more and more attractive for patients undergoing long-term treatment. In our training center, we examined 50 patients who took part in a standardized training course for self-management. Patients (36 men, 14 women) were preselected according to the guidelines of the German Association for Self-management of Oral Anticoagulation (ASA e.V.) and were all trained by the same physician. The complete course took an average of eight sessions. Patients older than 59 years needed significantly more training time in theoretical advising than younger patients; they did not need more training time in practical matters. The values between International Normalized Ratio (INR) measured in venous blood samples and by self-assessment were comparable for both groups. There was a good overall correlation between self-controlled INRs and laboratory assays, however, the self-assayed INRs were significantly lower than those from the venous blood samples.

journal_name

Semin Thromb Hemost

authors

Mörsdorf S,Erdlenbruch W,Taborski U,Schenk JF,Erdlenbruch K,Novotny-Reichert G,Krischek B,Wenzel E

doi

10.1055/s-2007-996433

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

109-15

issue

1

eissn

0094-6176

issn

1098-9064

journal_volume

25

pub_type

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