| The application of “four in one” integrated management mode in the anti-coagulation of community elder non-valvular atrial fibrillation patients |
| Received:March 24, 2020 Revised:April 13, 2020 Click here to download the full text |
| Citation of this paper:SONG Zhi-hua,YAO Jing,WEI Xin-ping,HUAN Hong-mei.The application of “four in one” integrated management mode in the anti-coagulation of community elder non-valvular atrial fibrillation patients[J].Chinese Journal of Clinical Medicine,2020,27(3):477-480 |
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| Author Name | Affiliation | E-mail | | SONG Zhi-hua | Meilong Community Health Service Center, Minhang District, Shanghai 201100, China | | | YAO Jing | Department of Cardiology, Huadong Hospital, Fudan University, Shanghai 200040, China | | | WEI Xin-ping | Meilong Community Health Service Center, Minhang District, Shanghai 201100, China | | | HUAN Hong-mei | Gumei Community Health Service Center, Minhang District, Shanghai 201100, China | 1901662054@qq.com |
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| Abstract:Objective: To explore the integrated management mode (IMM) in the treatment of non-valvular atrial fibrillation(NVAF).Methods: From February 1, to August 1, 2018, 100 qualified NVAF patients who registered in the MeiLong Community Health Center, was recruited and randomly assigned into two groups, the IMM group and the control group. For the control group, routine community intervention was deployed; for the IMM group, the integrated management mode was deployed. The end point of the research was stroke or visceral hemorrhage, with a follow-up to February 1, 2020.Results: It was found that there was no significant difference between the IMM and the control group regarding clinical variables. The medicine obedience of the IMM group was significantly higher than that of the control group (P<0.001), and the incidence of thrombotic events and hemorrhagic was significantly lower (OR=0.25, P<0.001 and OR=0.38, P<0.001 respectively).Conclusions: The "four in one" IMM in the community has superior effect on the CAF patient. The medical obedience of the patients is significantly improved, and the incidence of stroke is significantly decreased. |
| keywords:non-valvular atrial fibrillation integrated management mode community intervention stroke hemorrhage |
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