EVALUATING ADHERENCE TO ORAL ANTICOAGULANT TREATMENT IN PATIENTS WITH NON-VALVULAR ATRIAL FIBRILLATION AT THE SENIOR STAFF MEDICAL EXAMINATION DEPARTMENT IN 108 MILITARY CENTRAL HOSPITAL
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Abstract
Objective: To evaluate adherence to DOAC oral anticoagulation therapy in patients with atrial fibrillation. Find out the relationship between knowledge and the level of adherence to anticoagulant treatment. Subjects and methods: Prospective, cross-sectional description with a convenient sample size of 101 atrial fibrillation patients taking DOACs. Assess patient knowledge through the Anticogulation Knowledge Tool (AKT) questionnaire and assess treatment compliance using the Morrisky 8 questionnaire (MMAS-8). Results: The treatment compliance rate in the study patient group was high at 73%, while the non-adherent group was only 27%. Knowledge about anticoagulants of the study group of patients is mainly good and average, accounting for 40%, 34%. The poor rate accounts for 26%. Most correct answers about knowledge of anticoagulation treatment were higher among the compliant group than the non-compliant group, the difference was statistically significant, p<0.05. Good and average knowledge groups were associated with treatment adherence p<0.05. The age group <75 years old is related to treatment adherence, while the age group >75 years old does not see this relationship with p <0.05. Conclusion: Patients with knowledge will adhere better to treatment.
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References
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