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

作者：McCahon Deborah; Murray Ellen T; Murray Kathryn; Holder Roger L; Fitzmaurice David A^*

来源：Family Practice, 2011, 28(2): 134-140.

DOI：10.1093/fampra/cmq089

• Anticoagulation
• anxiety
• primary health care
• quality of life
• self-care
• warfarin

Methods. A quantitative survey, set in primary care in the West Midlands. The subjects were 517 randomized controlled trial participants, 242 receiving PSM and 275 RC. Postal questionnaires at baseline and 12 months comprised the State Trait Anxiety Inventory and a treatment-specific measure of positive (satisfaction and self-efficacy) and negative aspects (daily hassles, strained social network and psychological distress) of TRQoL. Change in anxiety and TRQoL scores were compared between PSM and RC. Subgroup analysis was based upon level of therapeutic control (high, medium and low).
Results. Overall, 83% (n = 202) PSM and 55% (n = 161) RC patients contributed data. Anxiety scores were similar in both groups. PSM demonstrated greater improvement in self-efficacy than RC across the study period. A statistically significant between-group difference (PSM versus RC) in the self-efficacy also existed in subgroups with medium and high levels of therapeutic control.
Conclusions. PSM is not associated with increased anxiety and has a positive effect upon some aspects of TRQoL compared to RC.

• 出版日期2011-4