Advanced practice nurses transitional care promotes anticoagulation therapy of warfarin in atrial fibrillation patients in South China

作     者：LEI Zhi-rong CHEN Xi PEI Xiao-yang AI Gui-lan ZHU Jian-ling WANG Jia-xian 

作者机构：Department of Cardiology Luohu Hospital 

出 版 物：《South China Journal of Cardiology》 (岭南心血管病杂志（英文版）)

年 卷 期：2014年第15卷第4期

页      面：274-278页

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

主　　题：atrial fibrillation advanced practice nurse TTR warfarin anti-coagulation 

摘      要：Background Advanced practice chronic conditions. However, nurse transitional care has been proofed to be important for older adults with such effectiveness has never been studied in the management of appropriate Warfarin use in clinical practice. Methods A total of 97 patients were randomly distributed into control group who received usual care, and interventional group who received transitional care provided by APNs. A 12-month observation of both groups were recorded by physicians and APNs and the impact of APNs on the managing of Warfarin therapy was also evaluated based on time in the therapeutic range （TTR）. Results APNs transitional care significantly （P 〈 0.01） improved patients＇ adherence, increased TTR and high TTR ratio compared with control group. Re-admission due to stroke was significantly （P 〈 0.01） reduced by APNs transitional care. Conclusion APNs transitional care improves patients＇ knowledge on AF and reduces stroke risk. The current research strongly suggest the necessity of APNs transitional interventional in managing anticoagulation therapy in AF patients in China.