Network potential development Factors predicting adverse events Treatment results and quality of life of patients taking warfarin Udon Thani Province

Abstract

Objective: to study the development of network potential Factors predicting adverse events Treatment results and quality of life of patients taking warfarin Udon Thani Province.

Materials & methods: this research and development. Sample group was personnel network of 68 people and 230 patients between September and December 2023. Research instrument was a questionnaire. Data were analyzed using descriptive statistics and logistic regression analysis.

Results: It was found that the operating manual for the management system for the care unit for patients using warfarin Udon Thani Province has 5 measures: 1) develop service network standards 2) promote access to services 3) develop information systems 4) follow up on treatment results 5) promote behavior to prevent risk factors. After developing the potential of service network personnel, it was at moderate level, increasing from 88.23% to 97.1. After development, the patient was at low risk, increasing from 46.1% to 52.2. Factors that significantly predicted adverse drug reactions (p-value <0.05) included age, female, cholesterol, diabetes, and waist circumference. Patient comorbidities 78.3%, atrial fibrillation 42.6% and stroke 14.8%, respectively. Warfarin dose 3 mg tab per day 47.8%, INR (international normalize ratio) value exceeded target 70.4%, last time was in target, increasing from 55.7% to 73.9. Overall warfarin patient quality of life was high 90.9%. Service results had 8 indicators, after improving and passing the criteria, an additional 6 indicators (75 percent) did not meet the criteria, namely patients having knowledge of the correct use of warfarin and patients had INR values in target range.

Conclusion: After development, it was found that the personnel have overall service potential at high level and patients had increased quality of life.