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Compliance status and influencing factors of anticoagulation therapy in outpatient undergoing major orthopedic surgery.
- Source :
-
Archives of Orthopaedic & Trauma Surgery . Feb2024, Vol. 144 Issue 2, p583-589. 7p. - Publication Year :
- 2024
-
Abstract
- Purpose: This study was designed to investigate influencing factors of out-of-hospital anticoagulation therapy compliance among patients undergoing major orthopaedic surgeries. Methods: A cross-sectional, descriptive study was conducted from July 2022 to February 2023 among outpatients who underwent major orthopedic surgery in our hospital. Patients (n = 200) were surveyed using the General Information Questionnaire, the General Self-Efficacy Scale, the Specificity of Medication-Taking Beliefs Scale, and the Morisky Medication Adherence Scale. Factors that influenced patient compliance were also determined using univariate and multivariate regression analyses. Results: One hundred eighty-three valid questionnaires were returned, the compliance with outpatient anticoagulation therapy among patients undergoing major orthopaedic surgeries was good in 56.3% (103/183) of all cases and poor in 43.7% (80/183). Multivariate logistic regression analysis showed that medication duration, adverse effects, self-efficacy and medication beliefs influenced adherence to out-of-hospital anticoagulation therapy in patients undergoing major orthopedic surgery (P < 0.05). Conclusions: Poor compliance with out-of-hospital anticoagulation therapy in patients undergoing major orthopedic surgery is mainly associated with a long course of medication, adverse reactions, low self-efficacy and low medication beliefs. Healthcare staff should strengthen post-discharge anticoagulation management based on relevant influencing factors to enhance patient compliance. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09368051
- Volume :
- 144
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Archives of Orthopaedic & Trauma Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 175024047
- Full Text :
- https://doi.org/10.1007/s00402-023-05106-3