Objective To investigate and analyze the cognition , attitude to disease in outpatient with atrial fibrillation ( AF) to provide the basis for clinical nursing .Methods One hundred and sixty outpatient with AF from March 2013 to April 2013 were chosen and were surveyed by the self-made questionnaire about the cognition, attitude to disease in AF patients .The related factors which can affect the cognition , attitude to disease in AF patients including age , gender , occupation , education , economic income monthly , payment of medical expenses , type of AF were analyzed .Results The score of the cognition in AF patients was (14.91 ± 4.92), and was in a bad level .The score of the attitude to disease was (18.59 ±4.16), and was in a good level.The differences were found in the cognition in AF patiens with different age , occupation, education, the type of AF (F=1.00, 2.61, 2.20, 4.21, respectively;P<0.05).The differences were found in the attitude to disease in AF patients with different occupation , education, payment of medical expenses (F=0.28, 0.95, 0.92, respectively;P<0.05).Conclusions The nurses should carry out health education according to the different clinical characteristics in AF patients , and improve the patient compliance , and actively cooperate with medical treatment .

Objective:To explore the application effect of mindfulness meditation training in patients with heart failure treated by left bundle branch area pacing cardiac resynchronization therapy.Methods:Using the convenient sampling method, a total of 86 patients with heart failure who were admitted to the Heart Center of Henan Provincial People's Hospital from March 2019 and March 2020 were selected as the research objects. According to the random number table method, a total of 86 patients were divided into the observation group and the control group, with 43 cases in each group. Patients in the control group were given routine nursing and health education, while patients in the observation group were given mindfulness meditation intervention on this basis. Self-rating Anxiety Scale (SAS) , Self-rating Depression Scale (SDS) and Pittsburgh Sleep Quality Index (PSQI) were used to compare the intervention effects.Results:After intervention, scores of SAS, SDS and PSQI of patients in the two groups were all lower than those before intervention, and scores of SAS, SDS and PSQI of patients in the observation group were all lower than those in the control group, and the differences were statistically significant ( P< 0.05) . Conclusions:Mindfulness meditation intervention in patients with chronic heart failure treated by left bundle branch area pacing cardiac resynchronization therapy can effectively reduce their negative emotions and improve their sleep quality.