Symptom challenges after atrial fibrillation ablation

被引:17
|
作者
Wood, Kathryn A. [1 ]
Barnes, Angel H. [2 ]
Paul, Sudeshna [1 ]
Hines, Kristina A. [3 ]
Jackson, Kevin P. [4 ]
机构
[1] Emory Univ, Sch Nursing, 1520 Clifton Rd NE, Atlanta, GA 30322 USA
[2] Duke Univ, Sch Nursing, Durham, NC USA
[3] Duke Univ, Sch Med, Durham, NC USA
[4] Duke Univ, Med Ctr, Div Clin Cardiac Electrophysiol, Durham, NC USA
来源
HEART & LUNG | 2017年 / 46卷 / 06期
关键词
Atrial Fibrillation; Ablation; Symptoms; Quality of life; Fatigue; HEART RHYTHM ASSOCIATION; SIMPLE SCALE; SEVERITY; SOCIETY; PERCEPTIONS; VALIDATION; DEPRESSION; MANAGEMENT; BENEFITS; ADULTS;
D O I
10.1016/j.hrtlng.2017.08.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: It is unclear what symptom challenges occur during the recovery phase after atrial fibrillation (AF) ablation. Objectives: This longitudinal pilot study explored the patient perspective of the first six months following an AF ablation. Methods: 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). Results: 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. Conclusions: 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. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:425 / 431
页数:7
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