Department of Anethesiology and Intensive Medicine, University Hospital Centre Zagreb, Kišpatićeva 12, 1000 Zagreb, Croatia.
Department of Nursing, University of Applied Health Sciences Zagreb, Mlinarska Cesta 38, 10000 Zagreb, Croatia.
Med Sci (Basel). 2023 Mar 3;11(1):22. doi: 10.3390/medsci11010022.
Atrial fibrillation is the most common clinically significant cardiac arrhythmia, and it might lead to heart failure, which prolongs the duration of hospitalization and consequently increases the cost of treatment. Thus, diagnosing and treating atrial fibrillation should be the first line of defense against further complications. This study aimed to determine the incidence rate of postoperative atrial fibrillation and correlation with cardiac surgery on heart valves. A specific aim was to determine the relationship between the prevalence of atrial fibrillation and socio-demographic features.
The study has a prospective cross-sectional design. The questionnaire was anonymous, requesting socio-demographic information as inclusion criteria, and the data were analyzed using descriptive statistics methods.
The sample was 201 patients. χ test and -test were performed where we found that the frequency of atrial fibrillation was higher in the groups that have had valve surgery compared to other cardiac surgeries (χ = 7.695, ss = 2, = 0.021). Atrial fibrillation increased with the age of the patients, but the prevalence of atrial fibrillation was not correlated with body weight.
The results of this this study show that atrial fibrillation was higher in the participants who had valve surgery compared to other cardiac surgeries. There was also an increase in atrial fibrillation in the older participants. The results of this study can help to improve nursing practice and the quality of care for cardiac surgery patients with regard to daily activities, or planning nursing care due to the patient's condition.
心房颤动是最常见的临床显著心律失常，可能导致心力衰竭，延长住院时间，从而增加治疗成本。因此，诊断和治疗心房颤动应该是预防进一步并发症的首要防线。本研究旨在确定心脏瓣膜手术后心房颤动的发生率及其与心脏手术的相关性。一个具体的目的是确定心房颤动的患病率与社会人口特征之间的关系。
该研究采用前瞻性横断面设计。问卷是匿名的，要求有社会人口统计学信息作为纳入标准，并使用描述性统计方法对数据进行分析。
样本为 201 名患者。进行了 χ 检验和 -检验，我们发现与其他心脏手术相比，接受瓣膜手术的患者中心房颤动的频率更高（χ = 7.695，ss = 2， = 0.021）。心房颤动随着患者年龄的增长而增加，但心房颤动的患病率与体重无关。
本研究结果表明，与其他心脏手术相比，接受瓣膜手术的患者中心房颤动的发生率更高。在年龄较大的患者中，心房颤动的发生率也有所增加。本研究的结果有助于提高心脏手术患者的护理实践和护理质量，特别是在日常活动方面，或根据患者的病情规划护理。
