关键词: 知信行, 阶段式宣教模式, 华法林, 心脏瓣膜置换术

Abstract: ［Abstract］ Objective To observe the influence of health education by stage on knowledge， attitude， and practice of patients taking Warfarin after valve replacement. Methods 130 patients undergoing valve replacement surgery in our hospital from April 2017 to April 2018 were chosen and divided into two groups： intervention group （65 cases） and control group （65 cases）. The control group was given routine health education on warfarin， the intervention group received health education on warfarin by stage， statistical analysis were made between the two groups. According to clinical statistics， the patients in the observation group were significantly better than in the control group in awareness of their knowledge of warfarin. Their attitudes and beliefs about taking warfarin， their compliance on taking warfarin and their satisfaction with the health education on Warfarin. The differences between the two groups were obvious， all of them have statistical significance （P<0.05）. Results The adoption of staged health education showed a good effect on patients with valve replacement surgery， which can effectively improve the awareness of their knowledge on warfarin and their compliance on taking warfarin for reducing the occurrence of anticoagulant， complications， improving the satisfaction and life quality of the patients. Conclusion The health education by stage on warfarin is a scientific， effective and ideal nursing method.

Key words: and practice, stage mode of propaganda, warfarin, education on knowledge, valve replacement, attitude