Information needs and influencing factors of cardiac rehabilitation in patients undergoing cryobaiioon ablation for atrial fibrillation
10.3760/cma.j.cn115682-20240125-00505
- VernacularTitle:房颤冷冻球囊消融术患者心脏康复信息需求及影响因素分析
- Author:
Juanli LI
1
;
Hongbing LI
;
Rui LI
;
Yanrong YIN
Author Information
1. 西安交通大学第一附属医院心血管内科，西安 710061
- Keywords:
Atrial fibrillation;
Cryobaiioon ablation;
Cardiac rehabilitation;
Information need
- From:
Chinese Journal of Modern Nursing
2024;30(29):3960-3967
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the changes in cardiac rehabilitation information needs of patients undergoing cryobaiioon ablation (CBA) for atrial fibrillation, analyze the influencing factors of different trajectory categories, so as to provide reference for rehabilitation guidance.Methods:From January 2022 to April 2023, convenience sampling was used to select patients who were planning to undergo CBA in the Cardiovascular Department at the First Affiliated Hospital of Xi'an Jiaotong University as participants. Patients were surveyed using the Information Needs in Cardiac Rehabilitation Scale at one day before surgery (T0), one month after surgery (T1), three months after surgery (T2), and six months after surgery (T3) .Results:A total of 257 questionnaires were distributed, and 218 valid questionnaires were collected. The total scores of the Information Needs in Cardiac Rehabilitation Scale for 218 patients at T0, T1, T2, and T3 were (187.86±35.28), (183.27±34.98), (174.03±34.01), and (167.35±33.96), respectively. There was a statistically significant difference in the total scores of the Information Needs in Cardiac Rehabilitation Scale among 218 patients at different time points ( F=18.237, P<0.01). Four potential trajectory categories were fitted, namely the sustained medium high need group (40.83%, 89/218), the medium high need-decline group (36.70%, 80/218), the medium low need-improvement group (7.34%, 16/218), and the medium low need-decline group (15.14%, 33/218). Age, whether to merge underlying chronic diseases, place of residence, social support, and postoperative complications were potential trajectory factors affecting the cardiac rehabilitation information needs of atrial fibrillation patients ( P<0.05) . Conclusions:Medical and nursing staff should assess the development trajectory of patients' cardiac rehabilitation information needs as early as possible, emphasize the importance of cardiac rehabilitation, establish remote and controllable cardiac rehabilitation programs, encourage rural residents to participate in local community related cardiac rehabilitation activities, mobilize patients' social support resources, and improve their needs and compliance with cardiac rehabilitation.
