The effect of Need-Based Education on Clinical Outcomes in Patients under treatment with Direct oral anticoagulants (DOACs) drugs in Hospital Affiliated to Shiraz University of Medical Sciences

The effect of Need-Based Education on Clinical Outcomes in Patients under treatment with Direct oral anticoagulants (DOACs) drugs in Hospital Affiliated to Shiraz University of Medical Sciences

Clinical trial with control group, with parallel groups, unblinded, randomized, on 92 patients. The rand function of Excel software will be used for randomization.

By referring to Namazi and Shahid Fagihi hospitals, two intervention and control groups are randomly selected from among the referring patients who meet the conditions for entering the study, and blinding is not done.

Inclusion criteria: Being between 18 and 80 years old; Receiving oral anticoagulants; The client's ability to learn the instructions and perform the self-care process. Exclusion criteria: Presence of active bleeding; The presence of mental illnesses and the use of psychotropic drugs according to the patient's statement.

Intervention group: For the educational group, need-based training in the form of educational pamphlets and face-to-face training will be conducted on the day of the interview, the second and fourth week, in person and by phone. Control group: will only receive the usual training and care.

Medication adherence, The international normalized ratio (INR)

The sampling method will initially be convenience; The samples will then be placed in quadruple blocks by block random sampling. The blockage is usually used to balance the number of samples allocated to each of the studied groups. This feature helps researchers to equalize the number of samples allocated to each of the studied groups in cases where intermediate analyzes are required during the sampling process. All blocks are the same size, and in this two-group experiment, we will have 4 blocks (including 2 participants in the intervention group and 3 participants in the control group). Random allocation software is also used to randomize random sequence production software (Random allocation software). To conceal, we use Allocation concealment, which refers to the method used to perform a random sequence on study participants, so that the assigned group is not identified before the individual is assigned. Using non-transparent envelopes sealed with random sequences (Sequentially numbered, sealed, opaque envelopes). They are placed in order. In order to maintain the random sequence, numbering is done on the outer surface of the envelopes in the same way. Finally, the lids of the letter envelopes are glued and placed inside a box, respectively. At the beginning of the registration of participants, based on the order of entry of eligible participants in the study, one of the envelopes of the letter will be opened in order and the assigned group of the participant will be revealed.