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高血压患者的心房颤动:患者特征

Atrial Fibrillation in Hypertension: Patients' Characteristics.

作者信息

Koutsaki Styliani, Koutelekos Ioannis, Gerogianni Georgia, Koutsaki Maria, Koukouzeli Aggeliki, Fouka Georgia, Polikandrioti Maria

机构信息

Program of Postgraduate Studies in "Neurological Disorders- Evidence Based Practice" in Nursing Department of Faculty of Health and Welfare of Technological Educational Institute of Athens, Athens, Greece.

出版信息

Mater Sociomed. 2018 Mar;30(1):4-9. doi: 10.5455/msm.2018.30.4-9.

Abstract

BACKGROUND

The most common risk factor for Atrial Fibrillation (AF) development is hypertension.

PURPOSE

to explore patients' characteristics associated with AF caused by hypertension.

METHODS

The sample of the study included 170 patients with AF caused by hypertension. Data collection was performed by the method of interview using a questionnaire developed by the researchers of the study for the collection of demographic, clinical and other patients' characteristics.

RESULTS

Regarding type of AF, 21.9% of the patients had paroxysmal AF while 64.5% and 13.6% had persistent and permanent AF, respectively. Patients who had persistent AF were receiving anticoagulants and antiarrhythmics at a higher percentage (88.8% and 82.2%,respectively) than patients with paroxysmal (69.4% and 72.2%, respectively) or permanent AF (69.6% and 56.5%, respectively). Patients with persistent AF had at a lower percentage their blood pressure controlled than patients with paroxysmal or permanent AF (85.3% vs. 97.3% and 95.7%, respectively). Patients with permanent AF had at a higher percentage >5 years onset of their heart problem (47.8%) than patients with paroxysmal or persistent AF (10.8% and 8.3%, respectively). Patients with permanent AF had at a higher percentage previous hospitalization due to AF (69.6%) than patients with paroxysmal (40.5%) or persistent AF (62%). Lastly, patients with persistent AF were very informed about the state of their health at a higher percentage (33%) compared patients with paroxysmal or permanent AF (13.5% and 26,1%, respectively).

CONCLUSIONS

The present study revealed patients' characteristics that may be helpful when planning nursing interventions or guiding clinical decision-making.

摘要

背景

心房颤动(AF)发生的最常见风险因素是高血压。

目的

探讨与高血压所致房颤相关的患者特征。

方法

该研究样本包括170例高血压所致房颤患者。采用访谈法收集数据,使用该研究的研究人员编制的问卷来收集人口统计学、临床及其他患者特征。

结果

关于房颤类型,21.9%的患者为阵发性房颤,而持续性房颤和永久性房颤患者分别占64.5%和13.6%。持续性房颤患者接受抗凝剂和抗心律失常药物治疗的比例(分别为88.8%和82.2%)高于阵发性房颤患者(分别为69.4%和72.2%)或永久性房颤患者(分别为69.6%和56.5%)。持续性房颤患者血压得到控制的比例低于阵发性房颤或永久性房颤患者(分别为85.3% vs. 97.3%和95.7%)。永久性房颤患者心脏问题发作超过5年的比例(47.8%)高于阵发性房颤或持续性房颤患者(分别为10.8%和8.3%)。永久性房颤患者既往因房颤住院的比例(69.6%)高于阵发性房颤患者(40.5%)或持续性房颤患者(62%)。最后,与阵发性房颤或永久性房颤患者(分别为13.5%和26.1%)相比,持续性房颤患者对自身健康状况了解程度较高的比例(33%)更高。

结论

本研究揭示了在规划护理干预或指导临床决策时可能有用的患者特征。

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