Management window for patients with atrial fibrillation in community health center
10.3760/cma.j.issn.1671-7368.2013.06.021
- VernacularTitle:社区卫生服务中心管理窗口模式管理心房颤动患者效果分析
- Author:
Jiangtao GU
;
Huan SONG
;
Weihua GONG
;
Ying ZHOU
;
Wei CHENG
;
Lie DAI
;
Zhencheng LI
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
Disease management
- From:
Chinese Journal of General Practitioners
2013;(6):463-465
- CountryChina
- Language:Chinese
-
Abstract:
A management window model for patients with atrial fibrillation (AF) was established in Tilanqiao Community Health Service Center cooperated with tertiary hospitals.Patients were screened and treated in the community health service center,and a comprehensive management plan was conducted and patients were followed-up.A total of 105 patients with atrial fibrillation (97.2％) were effectively managed with an average follow-up of 10.6 months.The CHADS2 score ≥ 2 in 78 cases,including 11 cases with administration of warfarin (14.1％) and 26 cases with paroxysmal AF without transition to persistent atrial fibrillation.Compared to the data before management,the rate of taking aspirin and warfarin in managed patients was increased (all P ＜ 0.05),the international normalized ratio (INR) of patients receiving warfarin was improved (P ＜ 0.05) ; the ratio of receiving comprehensive treatment program,standardized treatment and health education were significantly increased (P ＜ 0.05) ; the awareness of the disease,treatment compliance and satisfaction of patients were improved significantly (all P ＜ 0.05).The results suggest that the management widow model is feasible and effective for management of patients with atrial fibrillation in community health service centers.
