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Development and Application of a Self-management Program based on Prothrombin INR Monitoring for Patients with Cardiac Valve Replacement
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Hyun Rye Jeon, Jeong Sook Park
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J Korean Acad Nurs 2015;45(4):554-564. Published online August 31, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.4.554
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 Abstract
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Purpose
The purpose of this study was to develop and evaluate a self-management program based on INR monitoring for patients with cardiac valve replacement.
Methods
This program was comprised of five weekly sessions based on Sousa's Enhance-Behavior Performance Model. The first session included individual teaching, and the other four sessions included Prothrombin Time International Normalized Ratios (PT INR) self-monitoring, telephone counseling and self-management checklist recording. Participants were patients who had cardiac valve replacement. They were randomly assigned to the experimental or control group. Sixteen in the experimental group participated in the self-management program and seventeen in the control group participated in general care. Self-management knowledge, self-efficacy, self-management behavior and PT INR were measured as dependent variables. Data were analyzed using Mann Whitney U-test, t-test and ANCOVA.
Results
The experimental group showed significantly higher post-test scores in self-management knowledge (t=5.86, p <.001), self-efficacy (F=18.32, p <.001), and self-management behavior (t=3.44, p =.002) compared to the control group. Also, the experimental group showed significantly higher frequency in maintaining the treatment range of PT INR compared to the control group (χ2=4.80, p =.028).
Conclusion
The results of the research on the self-management program based on PT INR monitoring showed that it is effective in improving self-management knowledge, self-efficacy, and self-management behavior as well as maintaining treatment range of PT INR of patients with cardiac valve replacement.
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Citations
Citations to this article as recorded by  - Factors Influencing Health-Related Quality of Life in Patients With Atrial Fibrillation
Hyeon-Ok Lee, Ji-Yeong Seo
Journal of Cardiovascular Nursing.2025;[Epub] CrossRef - Self-care Behavior Based on Integrated Behavioral Model in Patients With Atrial Fibrillation: A Structural Equation Modeling Approach
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Western Journal of Nursing Research.2024; 46(2): 114. CrossRef - The Impact of Self-Management Behaviors, Self-Efficacy, and Grit on Health-related Quality of Life in Patients with Atrial Fibrillation: A Cross-Sectional Descriptive Study
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Journal of Medical Internet Research.2022; 24(8): e40090. CrossRef - Combining portable coagulometers with the Internet: A new model of warfarin anticoagulation in patients following mechanical heart valve replacement
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Frontiers in Surgery.2022;[Epub] CrossRef - Individualized education focusing on self‐management improved the knowledge and self‐management behaviour of elderly people with atrial fibrillation: A randomized controlled trial
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International Journal of Nursing Practice.2021;[Epub] CrossRef - Effects of Insambaekhab-tang on International Normalized Ratio Levels in a Cardioembolic Stroke Patient Taking Warfarin
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Journal of Korean Medical Society of Soft Tissue.2021; 5(1): 96. CrossRef - Effect of Self-Management Program on Self-efficacy and Medication Adherence in Patients with Mechanical Heart Valve: a Randomized Clinical Trial
Leila Javan, Aanoshirvan Kazemnejad, Mahin Nomali, Maasumeh Zakerimoghadam
Journal of Caring Sciences.2019; 8(4): 207. CrossRef
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