Læknablaðið

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Læknablaðið - 15.09.2005, Page 24

Læknablaðið - 15.09.2005, Page 24
FRÆÐIGREINAR / BLÓÐÞYNNINGARMEÐFERÐ verið sýnt fram á, það er að hjúkrunarfræðingar geta allt eins vel stýrt blóðþynningarmeðferð og læknar (15). A árinu 2003 voru enn sex sjúklingar undir ófullnægjandi eftirliti (10%) en það ætti að vera mögulegt að minnka það hlutfall enn frekar, til dæmis með tölvukerfi sem gerir viðvart ef sjúk- lingar mæta ekki í eftirlit á réttum tíma. Þakkir Höfundur vill þakka Sigurði Halldórssyni lækni, starfsfólki Heilbrigðisstofnunar Pingeyinga og Þorláki Axel Jónssyni kennara fyrir þarfar ábend- ingar og aðstoð. Heilbrigðisstofnun Þingeyinga fékk gæðastyrk til verkefnisins frá Heilbrigðis- og tryggingamálaráðuneytinu. Heimlldir 1. Heilbrigöis- og tryggingamálaráðuneytið. Notkun lyfja á ís- landi 1994-2003. Reykjavík, 2004. http://heilbrigdisraduneyti.is/ media/Lyfjamal_-_skyrslur/Lyfjanotkun_a_Islandi_l994-2003. pdf 2. Guðmundsdóttir I, Helgason KO, Sigurðsson EL, Arnar DO. Notkun blóðþynningarlyfja hjá sjúklingum með gáttatif á Islandi. Læknablaðið 2002; 88:299-303. 3. Ansell J, Hirsh J, Dalen J, Bussey H, Anderson D, Poller L, et al. Managingoral anticoagulant therapy. Chest 2001; 119/Suppl 1: 22S-38S. 4. Gadisseur APA, Breukink-Engbers WGM, van der Meer FJM, van den Besselaar AMH, Sturk A, Rosendaal FR. Comparison of the quality of oral anticoagulant therapy through patient self-management and management by specialized anticoagula- tion clinics in the Netherlands. Arch Int Med 2003; 163: 2639- 46. 5. Holm T, Deutch S, Lassen JF, Jastrup B, Husted SE, Heicken- dorff L. Prospective evaluation of the quality of oral antico- agulation management in an outpatient clinic and in general practices. Thromb Res 2002; 15:103-8. 6. Wilson SJ, Wells PS, Kovacs MJ, Lewis GM, Martin J, Burton E, et al. Comparing the quality of oral anticoagulant manage- ment by anticoagulation clinics and by family physicians: a randomized controlled trial. CMAJ 2003; 169:293-8. 7. Walton RT, Harvey E, Dovey S, Freemantle N. Computerized advice on drug dosage to improve prescribing practice (Cochrane Review). í: The Cochrane Library, Issue 4, 2004. Chichester, UK: John Wiley & Sons, Ltd. 8. Holm T, Lassen JF, Husted SE, Heickendorff L. The quality of routine oral anticoagulant therapy in a large geographical area. A survey of 310,300 inhabitants. Dan Med Bull 2002; 49: 252-5. 9. Nilsson GH, Björnholt I. Occurrence and quality of anticoagu- lant treatment of chronic atrial fíbrillation in primary health care in Sweden: a retrospective study on electronic patient records. BMC Clin Pharmacol 2004; 4:1-6. 10. Lidstone V, Janes S, Stross P. INR: Intervals of measurement can safely extend to 14 weeks. Clin Lab Haem 2000; 22:291-3. 11. Rosendaal FR, Cannegieter SC, van der Meer FJM, Briet E. A method to determine the optimal intensity of oral anticoagu- lant therapy. Thromb Haemostas 1993; 69: 236-9. 12. Hutten BA, Prins MH, Redekop WK, Tijssen JG, Keisterkamp SH, Buller HR. Comparison of three methods to assess thera- peutic quality control of treatment with vitamin K antagonists. Thromb Haemost 1999; 82:1260-3. 13. Cannegieter SC, Rosendaal FR, Wintzen AR, van der Meer FJM, Vandenbroucke JP, Briét E. Optimal anticoagulant therapy in patients with mechanical heart valves. N Eng J Med 1995; 333:11-7. 14. Haraldsson M, Önundarson PT, Guðmundsdóttir BR, Einars- dóttir KÁ, Kristinsson Á, Pálsson K, et al. Framskyggn rann- sókn á blóðþynningarmeðferð á Landspítalanum. Læknablaðið 1997; 84: 32-40. 15. Taylor FC, Gray A, Cohen H, Gaminara L, Ramsay M, Miller D. Costs and effectiveness of a nurse specialist anticoagulant service. J Clin Pathol 1997; 50: 823-8. 660 Læknablaðið 2005/91

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