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 inHeart & lung Vol. 37; no. 2; pp. 79 - 90
Main Authors McCabe, Pamela J., Schad, Shauna, Hampton, Andrea, Holland, Diane E.
Format Journal Article
LanguageEnglish
Published United States Mosby, Inc 01.03.2008
Elsevier Science Ltd
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Online AccessGet full text
ISSN0147-9563
1527-3288
1527-3288
DOI10.1016/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.
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
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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
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0147956307000507
https://www.clinicalkey.es/playcontent/1-s2.0-S0147956307000507
https://dx.doi.org/10.1016/j.hrtlng.2007.02.006
https://www.ncbi.nlm.nih.gov/pubmed/18371501
https://www.proquest.com/docview/198092219
https://www.proquest.com/docview/70439972
Volume 37
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