Does self-management of oral anticoagulation therapy improve quality of life and anxiety?

摘要: Background. Research related to service requirements for anticoagulation management has focussed on clinical and health economic outcomes paid little attention the impact of treatment delivery patients’ quality life. This was first large UK study evaluate effect patient self-management (PSM) oral treatment-related life (TRQoL) anxiety in comparison with routine care (RC) explore level therapeutic control TRQoL across within each model care. Methods. A quantitative survey, set primary West Midlands. The subjects were 517 randomized controlled trial participants, 242 receiving PSM 275 RC. Postal questionnaires at baseline 12 months comprised State Trait Anxiety Inventory a treatment-specific measure positive (satisfaction self-efficacy) negative aspects (daily hassles, strained social network psychological distress) TRQoL. Change scores compared between Subgroup analysis based upon (high, medium low). Results. Overall, 83% (n = 202) 55% 161) RC patients contributed data. similar both groups. demonstrated greater improvement self-efficacy than period. statistically significant between-group difference (PSM versus RC) also existed subgroups high levels control. Conclusions. is not associated increased some