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Volume 4, Issue 3 (7-2025)
JRHMS 2025, 4(3): 48-57 |
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Fathi F, FallahFaragheh A, Nayeb M R, RouhparvarZamin M, Salimi S, Shojaeifar F. Education on Warfarin therapy through social media: A facilitator of INR control in patients with prosthetic heart valves. JRHMS 2025; 4 (3) :48-57
URL: http://jrhms.thums.ac.ir/article-1-164-en.html
URL: http://jrhms.thums.ac.ir/article-1-164-en.html
Fatemeh Fathi1 
, Ahmadreza FallahFaragheh1 , Mohammad Reza Nayeb2 , Motahareh RouhparvarZamin2 , Saeed Salimi2 , Fahimeh Shojaeifar *3
, Ahmadreza FallahFaragheh1 , Mohammad Reza Nayeb2 , Motahareh RouhparvarZamin2 , Saeed Salimi2 , Fahimeh Shojaeifar *3
1- School of Nursing and Midwifery, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
2- Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Research Center for Nursing and Midwifery Care, Comprehensive Research Institute for Maternal and Child Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Research Center for Nursing and Midwifery Care, Comprehensive Research Institute for Maternal and Child Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract: (1 Views)
Heart valve replacement surgery requires long-term care due to its chronic nature. Warfarin, as the primary post-operative medication, can lead to complications such as bleeding or embolism if there is poor adherence to the treatment. This study aimed to investigate the effect of social media-based education on the control of the International Normalized Ratio (INR) index in heart valve replacement patients.
This experimental study was conducted on 104 patients under warfarin treatment who underwent heart valve replacement surgery between August 2022 and May 2023. Patients were divided into control and intervention groups. The intervention group, in addition to routine discharge education, received warfarin-related training via social media for two months and was followed up for an additional two months. The INR index was evaluated before and after the intervention, and data were analyzed using independent T-tests, paired T-tests, and Chi-square tests.
The results showed that there was no significant difference in demographic variables between the two groups. The mean change in INR in the intervention group significantly decreased by -1.27 ± 0.35 after the intervention (P-value < 0.001), whereas this change was not significant in the control group (P-value = 0.18).
Utilizing social media-based education can help improve quality of life and reduce warfarin complications by increasing patient awareness and treatment adherence.
This experimental study was conducted on 104 patients under warfarin treatment who underwent heart valve replacement surgery between August 2022 and May 2023. Patients were divided into control and intervention groups. The intervention group, in addition to routine discharge education, received warfarin-related training via social media for two months and was followed up for an additional two months. The INR index was evaluated before and after the intervention, and data were analyzed using independent T-tests, paired T-tests, and Chi-square tests.
The results showed that there was no significant difference in demographic variables between the two groups. The mean change in INR in the intervention group significantly decreased by -1.27 ± 0.35 after the intervention (P-value < 0.001), whereas this change was not significant in the control group (P-value = 0.18).
Utilizing social media-based education can help improve quality of life and reduce warfarin complications by increasing patient awareness and treatment adherence.
Type of Study: Orginal Article |
Subject:
General
Received: 2026/06/15 | Accepted: 2026/06/15 | Published: 2026/07/13
Received: 2026/06/15 | Accepted: 2026/06/15 | Published: 2026/07/13
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