Efektivitas Edukasi Daring dalam Terapi Warfarin terhadap Kepatuhan Pasien

Ulfa Rahmatul Faizah, Rano K. Sinuraya, Norisca A. Putriana

Abstrak

Warfarin sebagai obat high-alert dan memiliki indeks terapi sempit memerlukan pemantauan dalam penggunaannya. Pengetahuan pasien mengenai terapi warfarin sangat diperlukan untuk meningkatkan kepatuhan dan kualitas hidup pasien salah satunya dengan tercapainya nilai INR yang direkomendasikan, yaitu 2,0-3,0. Salah satu inovasi dalam upaya meningkatkan pengetahuan pasien adalah dengan pendidikan daring kepada pasien tentang warfarin seperti pemberian informasi dalam bentuk video melalui perangkat. Tujuan review ini adalah untuk melihat efektivitas edukasi daring terapi warfarin terhadap kepatuhan pasien. Artikel diperoleh dari database PubMed dan google scholar dengan menggunakan kata kunci effectiveness, online education, warfarin, dan patient adherence, serta artikel yang dimasukkan dalam review ini dipublikasikan dalam rentang waktu 2010-2020. Berdasarkan hasil penelusuran diperoleh 64 artikel dan terdapat delapan artikel yang memenuhi kriteria inklusi dan eksklusi. Hasil menunjukkan peningkatan pengetahuan dan kepatuhan pasien rata-rata 90% setelah menerima inovasi pendidikan secara daring tentang terapi warfarin, namun perlu pertimbangan dari kelebihan dan kekurangan edukasi daring untuk implementasinya di Indonesia.

Kata Kunci

Efektivitas, Warfarin, Edukasi Online, Kepatuhan Pasien

Teks Lengkap:

PDF

Referensi

Institute for Safe Medication Practices. ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. [diunduh 10 Mei 2020]. Tersedia dari: http://www.ismp.org.

Granger CB, Alexander JH, McMurray JJV, Loper RD, Hylek EM, Hanna M, et al. Apixaban versus Warfarin in Patients with Atria Fibrillation. The New England Journal of Medicine. 2011; 265 (11): 981-992.

Patel S, Singh R, Preuss CV, Patel an N. Warfarin. [diunduh 20 Januari 2020]. Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK470313/.

Kim Y, Park ES, Kang DW, Kim TJ, Lee SH. Maintenance Dose of Warfarin Beyond Time in Therapeutic Range for Preventing Vascular Events. Journal of the Neurological Science. 2019; 398: 69-74.

World Health Organization (WHO). Cardiovascular Diseases. [diunduh 20 Januari 2020]. Tersedia dari: https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1.

Hirano T, Kaneko H, Mishina S, Wang F, Morita S. Suboptimal Anticoagulant Management in Japanese Patients with Nonvalvular Atrial Fibrillation Receiving Warfarin for Stroke Prevention. Journal of Stroke and Cerebrovascular Diseases. 2017; 26(10): 2102-2110.

Shrestha S, Sapkota B, Kumpkha A, Acharya U, Sharma R. Evaluation of Patients’ Knowledge on Warfarin in Outpatient Pharmacy of A Tertiary Care Cardiac Center. BMC Research Notes. 2015; 8(429): 1-5.

Collins S, Barber A, Sahm LJ. Pharmacist’s Counselling Improves Patient Knowledge Regarding Warfarin, Irrespective of Health Literacy Level. Pharmacy. 2014; 2:114-123.

Meyer S, Frei CR, Daniels KR, Forcade NA, Bussey M, Bussey-Smith KL, et al. Impact of A New Method of Warfarin Management on Patient Satisfaction, Time, and Cost. Pharmacotherapy. 2013; 33(11): 1147-1155.

Agency for Healthcare Research and Quality (AHRQ). Health Information Technology Integration (HITI). [diunduh 21 April 2020]. Tersedia dari: http://www.ahrq.gov/professionals/prevention-chronic-care/improve/health-it.

Nasser S, Mullan J, Bajorek B. Educating Patients about Warfarin Therapy using Information Technology: A Survey on Healthcare Professionals’ Perspectives. Pharmacy Practice. 2012; 10(2): 97-104.

Kelly K, Bradley J, Kidest-Mimi AD, Nguyen LU, Kelly KC, Allen AY. Anticoagulation Management Outcomes in Veterans: Office vs Telephone Visits. Federal Practitioner: 2017; 37-40.

Heinrich K, Sanchez K, Hui C, Talabi K, Perry M, Qin H, et al. Impact of an Electronic Medium Delivery of Warfarin Education in A Low Income, Minority Outpatient Population: A Pilot Intervention Study. BMC Public Health, 2019; 19(1050): 1-7.

Kim JJ, Mohammad RA, Coley KC, Donihi AC. Use of An iPad to Provide Warfarin Video Education to Hospitalized Patients. Journal Patient Safety. 2015; 11(3): 160-165.

Moore SJ, Blair EA, Steeb DR, Reed BN, Hull JH, and Rodgers J. Impact of Video Technology on Efficiency of Pharmacist-Provided Anticoagulation Counseling and Patient Comprehension. Annals of Pharmacotherapy. 2015; 1-8.

Clarkesmith DE, Pattison HM, Lip GYH, and Lane DA. Educational Intervention Improves Anticoagulation Control in Atrial Fibrillation Patients: The TREAT Randomised Trial. Public Library of Science. 2013; 8 (9): 1-10.

Denizard-Thompson NR, Singh S, Stevens SR, Miller DP, Wofford JL. iPodTM Technology for Teaching Patients about Anticoagulation: A Pilot Study of Mobile Computer-assisted Patient Education. Primary Health Care Research & Development. 2012; 13: 42-47.

Jenner KM, Simmons BJ, Delate T, Clark NP, Kurz D, Witt DM. An Education Program for Patient Self-Management of Warfarin. The Permanente Journal. 2015; 19(4): 33-38.

Bereznicki LRE, Jackson SL, Peterson GMP. Supervised Patient Self-Testing of Warfarin Therapy Using an Online System. Journal of Medical Internet Research. 2013; 15(7): 1-11.

Cao H, Wu J, Zhang J. Outcomes of Warfarin Therapy Managed by Pharmacists Via Hospital Anticoagulation Clinic Versus Online Anticoagulation Clinic. International Journal of Clinical Pharmacy. 2018; 40(5): 1072-1077.

Lipman EL, Kenny M, Marziali E. Providing Web-based Mental Health Services to At-risk Women. BMC Women’s Health. 2011; 11:1-9.

Farsad BF, Abbasinazari M, Dabagh A, Bakshandeh H. Evaluation of Time in Therapeutic Range (TTR) in Patients with Non-Valvular Atrial Fibrillation Receiving Treatment with Warfarin in Tehran, Iran: A Cross-Sectional Study. Journal of Clinical and Diagnostic Research. 2016; 10(9): 4-6.

Lip GYH, Banerjee A, Boriani GB, Chiang CE, Fargo R, Freedman B, et al. Antithrombotic Therapy for Atrial Fibrillation: CHEST Guideline and Expert Panel Report. CHEST. 2018; 154(5): 1121–1201.

Brown MT, Bussell JK. Medication Adherence: WHO Cares? Mayo Clinic Proc. 2011; 86: 304-314.

Smith MB, Christensen N, Wang S, Day JD, Weiss JP, Crandall BG, et al. Warfarin Knowledge in Patients with Atrial Fibrillation: Implications for Safety, Efficacy, and Education Strategies. Cardiology. 2010; 116: 61-69.

Winans ARM, Rudd KM, Triller D. Assessing Anticoagulation Knowledge in Patients New to Warfarin Therapy. The Annals of Pharmacotherapy. 2010; 44: 1152-1157.

Pusmarani J, Mustofa, Darmawan E. Pengaruh Pemberian Edukasi Obat terhadap Kepatuhan Minum Obat Warfarin pada Pasien Sindrom Koroner Akut dan Fibrilasi Atrium di Rumah Sakit PKU Muhammadiyah Yogyakarta. Jurnal Farmasi Klinik Indonesia. 2015; 4 (4): 257-263.

Brown MT, Siu KWD, Pladevall-Vila M, Sande S, Mordin M. Development of A Conceptual Model of Adherence to Oral Anticoagulants to Reduce Risk of Stroke in Patients with Atrial Fibrillation. Journal of Managed Care Pharmacy. 2012; 18(5): 351-362.

Wang, Y, Kong MC, Ko T. Psychometric Properties of The 8-Item Morisky Medication Adherence Scale in Patients Taking Warfarin. Journal of Thrombosis & Homeostasis. 2012;108 (4): 789-795.

Rose AJ. Patient Education: The Missing Link in Improving Quality of Oral Anticoagulation. Cardiology. 2010; 116: 59-60.

Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ, et al. Evidence-Based Management of Anticoagulant Therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th Ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. CHEST. 2012; 141 (2): 152-184.

Hassan S, Naboush A, Radbel J, Asaad R, Alkaied H, Demissie S, et al. Telephone-Based Anticoagulation Management in the Homebound Setting: A Retrospective Observational Study. International Journal of General Medicine. 2013; 6: 869- 875.

Boman K, Davidson T, Gustavsson M, Olofsson M, Renstrom GB, Johansson L. Telemedicine Improves the Monitoring Process in Anticoagulant Treatment. Journal of Telemedicine and Telecare. 2012; 18: 312-316.

Amherdt S, Kim UO, Basir MA. Effectiveness of Digital Multimedia Educational Aids Produced by Intensive Care Unit Providers. Journal Pediatric Intensive Care. 2018; 7(4): 182-187.

Furdiyanti NH, Pramantara IDP, and Wahyono D. Evaluasi Dosis Warfarin dan Hasil Terapinya pada Pasien Rawat Jalan. Jurnal Manajemen dan Pelayanan Farmasi. 2014; 4 (3): 175-179.

Li X, Sun S, Wang Q, Chen B, Zhao Z, and Xu X. Assessment of Patients’ Warfarin Knowledge and Anticoagulation Control at A Joint Physician- and Pharmacist-Managed Clinic in China. Patient Preference and Adherence. 2018; 12: 783-791.

DOI: https://doi.org/10.24198/mfarmasetika.v5i5.27817

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