Application of multidisciplinary continuous nursing based on the transtheoretical model in patients after radiofrequency ablation for atrial fibrillation
10.3760/cma.j.cn115682-20250425-02163
- VernacularTitle:基于跨理论模型的多学科延续性护理在心房颤动射频消融术后患者中的应用
- Author:
Hongwei ZHANG
1
;
Dong ZHAO
1
;
Yahong CHEN
1
Author Information
1. 吉林大学中日联谊医院介入手术室，长春 130033
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
Radiofrequency ablation;
Transtheoretical model;
Multidisciplinary continuous nursing;
Medication adherence;
Quality of life
- From:
Chinese Journal of Modern Nursing
2025;31(35):4839-4844
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of multidisciplinary continuous nursing based on the transtheoretical model (TTM) in patients after radiofrequency ablation for atrial fibrillation.Methods:Using a convenience sampling method, 280 patients who underwent radiofrequency ablation for atrial fibrillation at the China-Japan Union Hospital of Jilin University from January to December 2024 were enrolled. Patients treated from January to June 2024 were assigned to the control group ( n=140), and those treated from July to December 2024 were assigned to the intervention group ( n=140). The control group received routine continuous nursing, while the intervention group received multidisciplinary continuous nursing guided by the transtheoretical model. The 8-item Morisky Medication Adherence Scale (MMAS-8), Self-Rated Abilities for Health Practices Scale (SRAHP), Depression Anxiety and Stress Scale (DASS-21), and the Chinese Quality of Life Questionnaire for Cardiovascular Patients (CQQC) were used to evaluate the intervention effects. Results:A total of 135 patients in the control group and 137 patients in the intervention group completed the study. After the intervention, the MMAS-8, CQQC, and SRAHP scores of the intervention group were higher than those of the control group, with statistically significant differences ( P<0.05). The anxiety and stress subscale scores of the DASS-21 were lower in the intervention group compared with the control group, with statistically significant differences ( P<0.05) . Conclusions:Multidisciplinary continuous nursing based on the transtheoretical model can improve medication adherence, reduce negative psychological states, promote healthy behavior formation, and enhance the quality of life of patients after radiofrequency ablation for atrial fibrillation.
