Influencing factors of atrial fibrillation in patients with heart failure and analysis of family empower-ment mode strategy
10.3969/j.issn.1008-0074.2024.05.02
- VernacularTitle:心力衰竭患者发生房颤的影响因素及家属赋能模式对策分析
- Author:
Zhu-Mei CHEN
1
;
Han-Li WEN
;
Yuan CAO
;
Ya LIU
;
Fei YANG
;
Qing ZHAO
Author Information
1. 中国人民解放军空军军医大学第一附属医院门诊部,陕西西安 710032
- Keywords:
Heart failure;
Atrial fibrillation;
Root cause analysis;
Prognosis
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(5):522-526
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of atrial fibrillation(AF)in patients with heart failure(HF)and the effects of family empowerment mode strategy.Methods:A total of 220 HF patients who were trea-ted in First Affiliated Hospital of Chinese PLA Air Force Military Medical University between April 2020 and March 2021 were selected.According to presence of AF or not,they were divided into AF group(n=80)and no AF group(n=140);patients in AF group received family empowerment mode strategy management for 3 months.Scores of self-care behavior scale and quality of life scale were compared between before and after intervention in AF group.Multivariate Logistic regression was used to analyze influencing factors of AF in HF patients,receiver operating characteristic(ROC)curve was used to analyze diagnostic value of above risk factors for AF in HF patients.Results:Compared with no AF group,patients in AF group had significant higher level of brain natriuretic peptide(BNP),left ventricular diameter and number of implanted stents(P＜0.001 all).Multivariate Logistic regression indicated that BNP＞400pg/ml,left ventricular diamcter＞40mm and number of implanted stents＞2 were independent risk factors for AF in HF patients(OR=1.349～2.501,P＜0.01 all).ROC curve indicated that AUC of BNP,left ven-tricular diameter and number of implanted stents predicting AF in HF patients was 0.819,0.812 and 0.745 respec-tively,all of them had good diagnostic value.Compared with before intervention,there were significant rise in di-mensional scores of self-care maintenance,self-care management and self-care confidence of HF patient self-care behavior scale,and significant reductions in scores of physical domain,emotional domain and other domain of HF quality of life scale in AF group after 3-month intervention(P＜0.001 all).Conclusion:BNP,left ventricular diameter and number of implanted stents are risk factors for atrial fibrillation in patients with heart failure.Self-management and quality of life significantly improve after family empowerment mode management in these patients.
