Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)

Objective To investigate the Beliefs about Medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis, and to provide evidence for improving the quality of anticoagulation. Methods A mixed-methods study using questionnaires and cognitive interview was c...

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Main Authors: YU Jie (于洁), JIN Xiaohong (金小红)
Format: Article
Language:zho
Published: Journal of International Translational Medicine Limited 2022-08-01
Series:中西医结合护理
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Online Access:http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202206069
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author YU Jie (于洁)
JIN Xiaohong (金小红)
author_facet YU Jie (于洁)
JIN Xiaohong (金小红)
author_sort YU Jie (于洁)
collection DOAJ
description Objective To investigate the Beliefs about Medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis, and to provide evidence for improving the quality of anticoagulation. Methods A mixed-methods study using questionnaires and cognitive interview was conducted. Totally 144 patients with deep venous thrombosis of lower extremity treated with oral Rivaroxaban anticoagulant were evaluated by a self-designed general information questionnaire and Beliefs about Medicines Questionnaire-specific (BMQ-specific), and 25 of them were interviewed by a semi-structured in-depth interview. Results The scores of necessity belief and concern belief about oral Rivaroxaban anticoagulant were (15. 14±3. 92) and (12. 60±3. 12) respectively, and the score of BMQ-specific was(2. 54±5. 09). According to the interview data, four main themes were refined as follows: Experience of anticoagulant efficacy, lack of cognition of adverse drug reactions, concern about adherence to medication, lack of continuity of medical education. Conclusion On one hand, patients accepted the need for anticoagulant medication; On the other hand, they had concerns about the potential risk of bleeding and other adverse reactions, and hope to stop the drugs as soon as possible. The medical staff should timely identify the adverse cognition of patients, strengthen medication education, and improve the quality of anticoagulant drugs. (目的 探讨下肢深静脉血栓形成患者口服利伐沙班的服药信念, 为提高抗凝质量提供依据。方法 本研究采用问卷调查与认知访谈相结合的方式, 自行设计一般资料调查表及使用特异性药物信念问卷调查表(BMQ-Specific), 对144名口服利伐沙班抗凝的下肢深静脉血栓形成患者进行问卷测评, 对其中25名患者进行半结构式深入访谈。结果 口服利伐沙班抗凝必要性维度得分为(15. 14±3. 92)分, 顾虑性维度得分(12. 60±3. 12)分, 服药信念得分(2. 54±5. 09)分。通过访谈资料构建出4个主要的主题: 抗凝疗效的体验、药物不良反应的认知不足、坚持用药的顾虑、医护宣教缺乏连续性。结论 患者认为服用抗凝药物是必要的, 但同时对抗凝药物可能发生的出血等不良反应存在疑问, 且希望能尽快停药。医护人员应及时识别患者的不良认知, 加强用药教育, 提高抗凝质量。)
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series 中西医结合护理
spelling doaj-art-44c042cc0b7c40d7a4805c7f650b2be52025-01-02T21:39:36ZzhoJournal of International Translational Medicine Limited中西医结合护理2709-19612022-08-0188192410.55111/j.issn2709-1961.202206069T202206069Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)YU Jie (于洁)0JIN Xiaohong (金小红)1Second Chemotherapy Ward, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 化疗二病区, 江苏 南通, 226001)Department of Oncology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 肿瘤科, 江苏 南通, 226001)Objective To investigate the Beliefs about Medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis, and to provide evidence for improving the quality of anticoagulation. Methods A mixed-methods study using questionnaires and cognitive interview was conducted. Totally 144 patients with deep venous thrombosis of lower extremity treated with oral Rivaroxaban anticoagulant were evaluated by a self-designed general information questionnaire and Beliefs about Medicines Questionnaire-specific (BMQ-specific), and 25 of them were interviewed by a semi-structured in-depth interview. Results The scores of necessity belief and concern belief about oral Rivaroxaban anticoagulant were (15. 14±3. 92) and (12. 60±3. 12) respectively, and the score of BMQ-specific was(2. 54±5. 09). According to the interview data, four main themes were refined as follows: Experience of anticoagulant efficacy, lack of cognition of adverse drug reactions, concern about adherence to medication, lack of continuity of medical education. Conclusion On one hand, patients accepted the need for anticoagulant medication; On the other hand, they had concerns about the potential risk of bleeding and other adverse reactions, and hope to stop the drugs as soon as possible. The medical staff should timely identify the adverse cognition of patients, strengthen medication education, and improve the quality of anticoagulant drugs. (目的 探讨下肢深静脉血栓形成患者口服利伐沙班的服药信念, 为提高抗凝质量提供依据。方法 本研究采用问卷调查与认知访谈相结合的方式, 自行设计一般资料调查表及使用特异性药物信念问卷调查表(BMQ-Specific), 对144名口服利伐沙班抗凝的下肢深静脉血栓形成患者进行问卷测评, 对其中25名患者进行半结构式深入访谈。结果 口服利伐沙班抗凝必要性维度得分为(15. 14±3. 92)分, 顾虑性维度得分(12. 60±3. 12)分, 服药信念得分(2. 54±5. 09)分。通过访谈资料构建出4个主要的主题: 抗凝疗效的体验、药物不良反应的认知不足、坚持用药的顾虑、医护宣教缺乏连续性。结论 患者认为服用抗凝药物是必要的, 但同时对抗凝药物可能发生的出血等不良反应存在疑问, 且希望能尽快停药。医护人员应及时识别患者的不良认知, 加强用药教育, 提高抗凝质量。)http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202206069lower extremity deep vein thrombosisrivaroxabanbeliefs about medicinesquestionnairescognitive interviewanticoagulationmedication adherence下肢深静脉血栓形成利伐沙班服药信念问卷调查认知访谈抗凝服药依从性
spellingShingle YU Jie (于洁)
JIN Xiaohong (金小红)
Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)
中西医结合护理
lower extremity deep vein thrombosis
rivaroxaban
beliefs about medicines
questionnaires
cognitive interview
anticoagulation
medication adherence
下肢深静脉血栓形成
利伐沙班
服药信念
问卷调查
认知访谈
抗凝
服药依从性
title Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)
title_full Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)
title_fullStr Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)
title_full_unstemmed Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)
title_short Beliefs about medicines in patients with oral Rivaroxaban for the treatment of lower extremity deep venous thrombosis: A mixed-methods study (下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究)
title_sort beliefs about medicines in patients with oral rivaroxaban for the treatment of lower extremity deep venous thrombosis a mixed methods study 下肢深静脉血栓形成患者口服利伐沙班服药信念现状的混合研究
topic lower extremity deep vein thrombosis
rivaroxaban
beliefs about medicines
questionnaires
cognitive interview
anticoagulation
medication adherence
下肢深静脉血栓形成
利伐沙班
服药信念
问卷调查
认知访谈
抗凝
服药依从性
url http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202206069
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