Safety relevant knowledge of orally anticoagulated patients without self-monitoring: a baseline survey in primary care
2014 | journal article; research paper. A publication of Göttingen
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Safety relevant knowledge of orally anticoagulated patients without self-monitoring: a baseline survey in primary care
Chenot, J.-F.; Thanh Duc Hua, T. D. H.; Abu Abed, M.; Schneider-Rudt, H.; Friede, T. ; Schneider, S. & Vormfelde, S. V. (2014)
BMC Family Practice, 15 art. 104. DOI: https://doi.org/10.1186/1471-2296-15-104
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Details
- Authors
- Chenot, Jean-Franois; Thanh Duc Hua, Thanh Duc Hua; Abu Abed, Manar; Schneider-Rudt, Hannelore; Friede, Tim ; Schneider, Simon; Vormfelde, Stefan Viktor
- Abstract
- Background: Effective and safe management of oral anticoagulant treatment (OAT) requires a high level of patient knowledge and adherence. The aim of this study was to assess patient knowledge about OAT and factors associated with patient knowledge. Methods: This is a baseline survey of a cluster-randomized controlled trial in 22 general practices with an educational intervention for patients or their caregivers. We assessed knowledge about general information on OAT and key facts regarding nutrition, drug-interactions and other safety precautions of 345 patients at baseline. Results: Participants rated their knowledge about OAT as excellent to good (56%), moderate (36%) or poor (8%). However, there was a discrepancy between self-rated knowledge and evaluated actual knowledge and we observed serious knowledge gaps. Half of the participants (49%) were unaware of dietary recommendations. The majority (80%) did not know which non-prescription analgesic is the safest and 73% indicated they would not inform pharmacists about OAT. Many participants (35-75%) would not recognize important emergency situations. After adjustment in a multivariate analysis, older age and less than 10 years education remained significantly associated with lower overall score, but not with self-rated knowledge. Conclusions: Patients have relevant knowledge gaps, potentially affecting safe and effective OAT. There is a need to assess patient knowledge and for structured education programs.
- Issue Date
- 2014
- Journal
- BMC Family Practice
- Organization
- Institut für Allgemeinmedizin
- ISSN
- 1471-2296