Safety relevant knowledge of orally anticoagulated patients without self-monitoring: a baseline survey in primary care

2014 | journal article; research paper. A publication with affiliation to the University of Göttingen.

Jump to: Cite & Linked | Documents & Media | Details | Version history

Cite this publication

​Chenot, Jean-Franois, Thanh Duc Hua TDH, Abu Abed M, Schneider-Rudt H, Friede T, Schneider S, et al. ​Safety relevant knowledge of orally anticoagulated patients without self-monitoring: a baseline survey in primary care​. ​​BMC Family Practice. ​2014;​15​. ​doi:10.1186/1471-2296-15-104. 

License

Published Version

Attribution 2.0 CC BY 2.0

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

Reference

Citations


Social Media