Özet:

In our study, we aimed at determining the awareness of the INR (international normalized ratio) in patients with atrial fibrilation (AF), who use warfarin, and the percentage of achieving the target level of INR in these patients. MATERIAL AND METHOD: Our study included a total of 300 patients, women over the age of 18 (40, n: 120) and men (60, n: 180), who were applied to the varpharin clinic, who received varpharin treatment due to AF. In terms of INR, the values between 2-3 and 2 were effectively assessed. All the patients were subjected to the same procedure. We have shown that 57% of patients using Varfarin are not at the desired effective INR level. In the majority of patients, the INR consciousness is quite low. In fact, 72% of those who use varfarin. 2 of them did not know what INR means, 68 percent did not know what the drug’s side effects, 75.7 percent did not know what measures to take in daily life, and 83.7 percent did not know what the nutrients containing vitamin K are. Patients who know the meaning of INR have a higher rate of presence in the effective INR range, but these rates have not been statically significantly identified. There was also no statistically meaningful relationship between the level of education, the civic state and the frequency of INR observation and the achievement of the INR target values. The result: at the beginning of Varfarin treatment, the profit and harm balance should be well established by the doctor, the effects of the drug, side effects, interactions, tracking, measures to be taken in daily life, and so on to the patient and his relatives. Information should be provided in a clear and clear manner. A variety of modern methods for monitoring should be activated in any way and the patient’s tracking of the INR level should be closer to the desired level. (SETB-2018-08-116)

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