Effect evaluation of community management model in elderly patients with non-valvular atrial fibrillation
10.3969/j.issn.1671-8348.2025.07.021
- VernacularTitle:社区管理模式应用于老年非瓣膜性心房颤动的效果评价
- Author:
Yunfeng ZHANG
1
;
Jiqun CHEN
;
Shitao SONG
;
Hao FAN
;
Wenli GUAN
Author Information
1. 合肥市第三人民医院老年医学科,合肥 230022
- Keywords:
community chronic disease management;
non-valvular atrial fibrillation;
geriatric compre-hensive assessment;
anticoagulation;
cardiovascular risk factors
- From:
Chongqing Medicine
2025;54(7):1648-1654
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of community management model on elderly patients with non-valvular atrial fibrillation(NVAF),and to provide methods and ideas for the management of elderly patients with NVAF in community.Methods A prospective randomized controlled trial was conducted in 305 elderly patients with NVAF who visited two community health service centers in Hefei and Wuhu from De-cember 2022 to November 2023.The patients were randomly divided into the control group(n=152)and the experimental group(n=153)by random number table method.The control group received routine diagnosis and treatment measures,while the experimental group adopted the community management model.Both groups were treated for 6 months.The New York Heart Association(NYHA)cardiac function classification was used to evaluate patients'cardiac function,the European Heart Rhythm Association(EHRA)score was used to assess patients,atrial fibrillation symptoms,the Morisky Medication Adherence Scale(MMAS-8)was used to evaluate patients'medication adherence,and the general self-efficacy scale(GSES)was used to assess patients'self-efficacy.The ventricular rate,control of cardiovascular risk factors,use rate of anticoagulant drugs,and the incidence of bleeding and arterial embolism were recorded in both groups.Results After 6 months of intervention,the NYHA cardiac function classification,EHRA score and ventricular rate control in the experimental group were better than those in the control group,and the patients'MMAS-8 and GSES scores were higher.The compliance rate of blood pressure and fasting blood glucose,and the use rate of antico-agulant drugs in the experimental group were higher than those in the control group.There was no statistical-ly significant difference in the incidence of bleeding and arterial embolism between the two groups(P>0.05).Conclusion The community management model can improve the symptoms,cardiac function,use rate of anticoagulant drugs,and medication adherence of elderly NVAF patients,and enhance their quality of life.
