Oral Anticoagulation: the impact of the therapy in health-related quality of life at six-month follow-up

Rev Lat Am Enfermagem. 2013 Jan-Feb:21 Spec No:105-12. doi: 10.1590/s0104-11692013000700014.
[Article in English, Portuguese]

Abstract

Objective: to study the changes in health-related quality of life from beginning of anticoagulation therapy to six-month follow-up, and to study associations of sociodemographic and clinical characteristics with measures of quality of life and general health status at six-month follow-up, in individuals using oral anticoagulation due to various medical indications for the therapy.

Method: prospective study performed at a city in the state of Paraná, Brazil, composed of 78 patients. Measures included the Duke Anticoagulation Satisfaction Scale and the Medical Outcomes Survey Short Form SF-36.

Results: mean age was 57 years (S.D.= 16) and 54% were women. Compared to the beginning of therapy, there was a statistically significant improvement in health-related quality of life at six-month follow-up. Linear regression analyses explained 32% and 30%, respectively, of the variance of the Duke Anticoagulation Satisfaction Scale and of the general health status. There was improvement in all components of the SF-36, except Mental Health.

Conclusion: The use of oral anticoagulation therapy was associated with improvement in health-related quality of life in the first six months of therapy. This study is longitudinal and therefore, has fewer limitations than cross-sectional studies published to date in the Nursing literature in Brazil.

Publication types

  • Observational Study

MeSH terms

  • Administration, Oral
  • Adult
  • Anticoagulants / administration & dosage*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Quality of Life*
  • Time Factors

Substances

  • Anticoagulants