Yi Zhong, Yan Xinxin, Xi Shaozhi, Zhu Lijuan, Liu Rui, Li Jing, Ru Songwei, Zheng Xiu, Qiu Jingxuan, Wang Chunqi, Guo Na, Wang Yimin, Gao Dayong
Department of Geriatrics Aerospace Center Hospital Beijing China.
PLA General Hospital Department of Cardiology Beijing China.
Aging Med (Milton). 2025 Jul 15;8(4):312-323. doi: 10.1002/agm2.70030. eCollection 2025 Aug.
Atrial fibrillation (AF) is a common clinical arrhythmia. Failure to identify AF leaves patients at a considerably higher risk of disability and death, making its early screening and prevention extremely important. This study aimed to investigate knowledge, attitude, and practice (KAP) towards AF prevention and screening among the high-risk population.
Individuals at a high risk of AF were required to fill out questionnaires between August 2022 and October 2022.
A total of 863 participants aged 66.54 ± 11.00 years were enrolled. The median scores of knowledge, attitude, and practice were 9 (81.8% of maximum), 37 (64.9% of maximum), and 21.56 (86.2% of maximum), respectively. Only knowledge (OR = 1.159, 95% confidence interval (CI): 1.045-1.286, = 0.005) was independently associated with better practice, while attitude (OR = 0.861, 95% CI: 0.817-0.908, < 0.001), reported poor sleep quality (OR = 0.529, 95% CI: 0.259-1.0788, = 0.010), fair (OR = 0.234, 95% CI: 0.111-0.491, < 0.001) or fluctuating (OR = 0.321, 95% CI: 0.103-0.996, = 0.049) emotional state, and acquiring the questionnaire through social media (OR = 0.419, 95% CI: 0.268-0.653, < 0.001) were independently associated with worse practice.
Participats from high-risk AF population in this study demonstrated acceptable practice towards AF screening, mostly moderated by knowledge and attitude. Some gaps in knowledge could be improved by targeted health education, especially important in vulnerable subpopulations.
心房颤动（AF）是一种常见的临床心律失常。未能识别房颤会使患者面临更高的残疾和死亡风险，因此其早期筛查和预防极为重要。本研究旨在调查高危人群对房颤预防和筛查的知识、态度和实践（KAP）情况。
要求房颤高危个体在2022年8月至2022年10月期间填写问卷。
共纳入863名年龄为66.54±11.00岁的参与者。知识、态度和实践的中位数得分分别为9分（满分的81.8%）、37分（满分的64.9%）和21.56分（满分的86.2%）。只有知识（比值比[OR]=1.159，95%置信区间[CI]：1.045-1.286，P=0.005）与更好的实践独立相关，而态度（OR=0.861，95%CI：0.817-0.908，P<0.001）、报告睡眠质量差（OR=0.529，95%CI：0.259-1.0788，P=0.010）、情绪状态一般（OR=0.234，95%CI：0.111-0.491，P<0.001）或波动（OR=0.321，95%CI：0.103-0.996，P=0.049）以及通过社交媒体获取问卷（OR=0.419，95%CI：0.268-0.653，P<0.001）与更差的实践独立相关。
本研究中来自房颤高危人群的参与者对房颤筛查表现出可接受的实践，主要受知识和态度的调节。通过有针对性的健康教育可以改善一些知识方面的差距，这在脆弱亚人群中尤为重要。
