Knowledge and self-management behaviors of patients with recently detected atrial fibrillation
More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients’ knowledge of AF self-management or adherence to recommended self-management behaviors. We describe the self-management knowledge and behaviors of patients with recently detected A...
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Published in | Heart & lung Vol. 37; no. 2; pp. 79 - 90 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
Mosby, Inc
01.03.2008
Elsevier Science Ltd |
Subjects | |
Online Access | Get full text |
ISSN | 0147-9563 1527-3288 1527-3288 |
DOI | 10.1016/j.hrtlng.2007.02.006 |
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Abstract | More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients’ knowledge of AF self-management or adherence to recommended self-management behaviors.
We describe the self-management knowledge and behaviors of patients with recently detected AF and identify demographic characteristics associated with differences in knowledge scores.
Two weeks after hospitalization, subjects (N = 100) were interviewed by telephone to assess knowledge and self-management behaviors.
Knowledge deficits related to AF symptoms, purpose of medication, risk for stroke, warning signs of stroke, and complications of warfarin were found. Knowledge deficits were greater in older subjects and in subjects with less formal education. Despite knowledge deficits, there was high adherence to taking medication and anticoagulation monitoring.
At 2 weeks after discharge, self-management education provided during hospitalization did not appear to be retained. Knowledge deficits did not seem to deter report of behaviors such as taking medication and anticoagulation monitoring.
The projected expansion of this population with its anticipated effects on health and health care resources warrants further study aimed at developing effective approaches for providing self-management education to patients with AF. |
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AbstractList | More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients' knowledge of AF self-management or adherence to recommended self-management behaviors.BACKGROUNDMore than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients' knowledge of AF self-management or adherence to recommended self-management behaviors.We describe the self-management knowledge and behaviors of patients with recently detected AF and identify demographic characteristics associated with differences in knowledge scores.PURPOSEWe describe the self-management knowledge and behaviors of patients with recently detected AF and identify demographic characteristics associated with differences in knowledge scores.Two weeks after hospitalization, subjects (N = 100) were interviewed by telephone to assess knowledge and self-management behaviors.METHODTwo weeks after hospitalization, subjects (N = 100) were interviewed by telephone to assess knowledge and self-management behaviors.Knowledge deficits related to AF symptoms, purpose of medication, risk for stroke, warning signs of stroke, and complications of warfarin were found. Knowledge deficits were greater in older subjects and in subjects with less formal education. Despite knowledge deficits, there was high adherence to taking medication and anticoagulation monitoring.RESULTSKnowledge deficits related to AF symptoms, purpose of medication, risk for stroke, warning signs of stroke, and complications of warfarin were found. Knowledge deficits were greater in older subjects and in subjects with less formal education. Despite knowledge deficits, there was high adherence to taking medication and anticoagulation monitoring.At 2 weeks after discharge, self-management education provided during hospitalization did not appear to be retained. Knowledge deficits did not seem to deter report of behaviors such as taking medication and anticoagulation monitoring.CONCLUSIONAt 2 weeks after discharge, self-management education provided during hospitalization did not appear to be retained. Knowledge deficits did not seem to deter report of behaviors such as taking medication and anticoagulation monitoring.The projected expansion of this population with its anticipated effects on health and health care resources warrants further study aimed at developing effective approaches for providing self-management education to patients with AF.IMPLICATIONSThe projected expansion of this population with its anticipated effects on health and health care resources warrants further study aimed at developing effective approaches for providing self-management education to patients with AF. More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients' knowledge of AF self-management or adherence to recommended self-management behaviors. We describe the self-management knowledge and behaviors of patients with recently detected AF and identify demographic characteristics associated with differences in knowledge scores. Two weeks after hospitalization, subjects (N = 100) were interviewed by telephone to assess knowledge and self-management behaviors. Knowledge deficits related to AF symptoms, purpose of medication, risk for stroke, warning signs of stroke, and complications of warfarin were found. Knowledge deficits were greater in older subjects and in subjects with less formal education. Despite knowledge deficits, there was high adherence to taking medication and anticoagulation monitoring. At 2 weeks after discharge, self-management education provided during hospitalization did not appear to be retained. Knowledge deficits did not seem to deter report of behaviors such as taking medication and anticoagulation monitoring. The projected expansion of this population with its anticipated effects on health and health care resources warrants further study aimed at developing effective approaches for providing self-management education to patients with AF. Background More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients’ knowledge of AF self-management or adherence to recommended self-management behaviors. Purpose We describe the self-management knowledge and behaviors of patients with recently detected AF and identify demographic characteristics associated with differences in knowledge scores. Method Two weeks after hospitalization, subjects (N = 100) were interviewed by telephone to assess knowledge and self-management behaviors. Results Knowledge deficits related to AF symptoms, purpose of medication, risk for stroke, warning signs of stroke, and complications of warfarin were found. Knowledge deficits were greater in older subjects and in subjects with less formal education. Despite knowledge deficits, there was high adherence to taking medication and anticoagulation monitoring. Conclusion At 2 weeks after discharge, self-management education provided during hospitalization did not appear to be retained. Knowledge deficits did not seem to deter report of behaviors such as taking medication and anticoagulation monitoring. Implications The projected expansion of this population with its anticipated effects on health and health care resources warrants further study aimed at developing effective approaches for providing self-management education to patients with AF. More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients' knowledge of AF self-management or adherence to recommended self-management behaviors. We describe the self-management knowledge and behaviors of patients with recently detected AF and identify demographic characteristics associated with differences in knowledge scores. Two weeks after hospitalization, subjects (N = 100) were interviewed by telephone to assess knowledge and self-management behaviors. Knowledge deficits related to AF symptoms, purpose of medication, risk for stroke, warning signs of stroke, and complications of warfarin were found. Knowledge deficits were greater in older subjects and in subjects with less formal education. Despite knowledge deficits, there was high adherence to taking medication and anticoagulation monitoring. At 2 weeks after discharge, self-management education provided during hospitalization did not appear to be retained. Knowledge deficits did not seem to deter report of behaviors such as taking medication and anticoagulation monitoring. The projected expansion of this population with its anticipated effects on health and health care resources warrants further study aimed at developing effective approaches for providing self-management education to patients with AF. |
Author | Schad, Shauna Holland, Diane E. McCabe, Pamela J. Hampton, Andrea |
Author_xml | – sequence: 1 givenname: Pamela J. surname: McCabe fullname: McCabe, Pamela J. organization: Department of Nursing, Mayo Clinic, Rochester, Minnesota – sequence: 2 givenname: Shauna surname: Schad fullname: Schad, Shauna organization: Department of Nursing, Mayo Clinic, Rochester, Minnesota – sequence: 3 givenname: Andrea surname: Hampton fullname: Hampton, Andrea organization: Department of Nursing, Mayo Clinic, Rochester, Minnesota – sequence: 4 givenname: Diane E. surname: Holland fullname: Holland, Diane E. organization: Department of Nursing, Mayo College of Medicine, Rochester, Minnesota |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18371501$$D View this record in MEDLINE/PubMed |
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Snippet | More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients’ knowledge of AF self-management or... Background More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients’ knowledge of AF... More than 2.3 million people in the United States have atrial fibrillation (AF), yet little is known regarding patients' knowledge of AF self-management or... |
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StartPage | 79 |
SubjectTerms | Aged Aged, 80 and over Atrial Fibrillation - diagnosis Behavior Cardiac arrhythmia Cardiovascular Critical Care Cross-Sectional Studies Educational Status Female Health Behavior Health care Health Education Health Knowledge, Attitudes, Practice Hospitalization Humans Knowledge Length of Stay Male Middle Aged Patient education Pulmonary/Respiratory Risk Factors Self Care Surveys and Questionnaires Telephone Time Factors |
Title | Knowledge and self-management behaviors of patients with recently detected atrial fibrillation |
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