Upsetting the Apple Cart: A Community Anticoagulation Clinic Survey of Life Event Factors that Undermine Safe Therapy

2.50
Hdl Handle:
http://hdl.handle.net/10755/155543
Type:
Presentation
Title:
Upsetting the Apple Cart: A Community Anticoagulation Clinic Survey of Life Event Factors that Undermine Safe Therapy
Abstract:
Upsetting the Apple Cart: A Community Anticoagulation Clinic Survey of Life Event Factors that Undermine Safe Therapy
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Edmundson, Sarah, MS
P.I. Institution Name:Dominican Hospital, Santa Cruz California, Catholic Healthcare West
Title:Clinical educator, Staff nurse
Co-Authors:Diane Stuenkel, EdD, RN; Phyllis M. Connolly, PhD, APRN, BC, CS
Anticoagulation therapy is a life enhancing therapy for patients who are at risk for embolic events secondary to atrial fibrillation, valve replacement, and other co-morbidities. Clinicians are motivated to decrease the amount of time that patients are either sub-therapeutic or over-anticoagulated, common conditions that decrease patient safety at either extreme. The primary purpose of this descriptive study was to examine the relationship between personal life event factors as measured by Norbeck?s Life Events Questionnaire (LEQ), core demographics such as age and income, and anticoagulation regulation. While many factors affect anticoagulation therapy, the precise impact of life events, positive or negative, is unknown. The salient findings of this study (n = 202) showed a small, though statistically significant inverse relationship (r = -.184, p = <0.01), between negative life events and decreased time within therapeutic international normalized ratio (INR).  Total life events scores showed a statistically significant inverse relationship (r = -.159, p = <0.05) to INR time within therapeutic level. Lower income was inversely associated with higher negative life events scores (r = -.192, p = <0.01). The findings demonstrate the need for strategies that address the potential impact of life events in conjunction with coexisting screening measures used in anticoagulation clinics. Implications for this study are limited by lack of methodology documenting concurrent social support factors, and limitations of the research tool to reflect life event issues specific to outpatient seniors.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUpsetting the Apple Cart: A Community Anticoagulation Clinic Survey of Life Event Factors that Undermine Safe Therapyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155543-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Upsetting the Apple Cart: A Community Anticoagulation Clinic Survey of Life Event Factors that Undermine Safe Therapy</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Edmundson, Sarah, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Dominican Hospital, Santa Cruz California, Catholic Healthcare West</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical educator, Staff nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Sarah.Edmundson@CHW.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Diane Stuenkel, EdD, RN; Phyllis M. Connolly, PhD, APRN, BC, CS</td></tr><tr><td colspan="2" class="item-abstract">Anticoagulation therapy is a life enhancing therapy for patients who are at risk for embolic events secondary to atrial fibrillation, valve replacement, and other co-morbidities. Clinicians are motivated to decrease the amount of time that patients are either sub-therapeutic or over-anticoagulated, common conditions that decrease patient safety at either extreme. The primary purpose of this descriptive study was to examine the relationship between personal life event factors as measured by Norbeck?s Life Events Questionnaire (LEQ), core demographics such as age and income, and anticoagulation regulation. While many factors affect anticoagulation therapy, the precise impact of life events, positive or negative, is unknown. The salient findings of this study (n = 202) showed a small, though statistically significant inverse relationship (r = -.184, p = &lt;0.01), between negative life events and decreased time within therapeutic international normalized ratio (INR).&nbsp; Total life events scores showed a statistically significant inverse relationship (r = -.159, p = &lt;0.05) to INR time within therapeutic level. Lower income was inversely associated with higher negative life events scores (r = -.192, p = &lt;0.01). The findings demonstrate the need for strategies that address the potential impact of life events in conjunction with coexisting screening measures used in anticoagulation clinics. Implications for this study are limited by lack of methodology documenting concurrent social support factors, and limitations of the research tool to reflect life event issues specific to outpatient seniors.</td></tr></table>en_GB
dc.date.available2011-10-26T13:56:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:56:27Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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