Wood Kathryn A, Barnes Angel H, Paul Sudeshna, Hines Kristina A, Jackson Kevin P
Emory University School of Nursing, USA.
Duke University School of Nursing, USA.
Heart Lung. 2017 Nov-Dec;46(6):425-431. doi: 10.1016/j.hrtlng.2017.08.007. Epub 2017 Sep 18.
It is unclear what symptom challenges occur during the recovery phase after atrial fibrillation (AF) ablation.
This longitudinal pilot study explored the patient perspective of the first six months following an AF ablation.
Telephone interviews and questionnaires were used with 20 patients at baseline, at 1, 3, and 6 months after AF ablation. Telephone interview data were analyzed using content analysis. Longitudinal outcomes were analyzed using repeated measures analysis of variance (ANOVA).
Mean age was 65 ± 7 years and the sample was 55% female. The severity and duration of fatigue was the most concerning symptom. Patient expectations differed from providers' expectations. Recovery was a much slower process than patients expected.
Patients struggled to manage symptoms after AF ablation. A more accurate understanding of the symptom challenges following AF ablation could lead to development of more realistic education to improve patient self-management.
目前尚不清楚心房颤动(AF)消融术后恢复阶段会出现哪些症状挑战。
这项纵向试点研究探讨了患者对AF消融术后前六个月的看法。
对20例患者在基线时、AF消融术后1个月、3个月和6个月进行电话访谈和问卷调查。电话访谈数据采用内容分析法进行分析。纵向结果采用重复测量方差分析(ANOVA)进行分析。
平均年龄为65±7岁,样本中55%为女性。疲劳的严重程度和持续时间是最令人担忧的症状。患者的期望与提供者的期望不同。恢复过程比患者预期的要慢得多。
AF消融术后患者在症状管理方面存在困难。对AF消融术后症状挑战的更准确理解可能会促使开展更符合实际的教育,以改善患者的自我管理。