对心房颤动患者实施患者教育:全国横断面调查和一年随访。

IF 2.9 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI:10.1093/eurjcn/zvad066
Ina Qvist, Deirdre A Lane, Signe Stelling Risom, Jeroen M Hendriks, Anette Arbjerg Højen, Søren Paaske Johnsen, Lars Frost
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引用次数: 0

摘要

目的:临床实践指南建议对心房颤动(房颤)患者进行患者教育,将其作为整体护理的一部分,然而,临床指南对房颤教育计划的内容、结构和实施缺乏详细规定。研究丹麦心房颤动患者教育在覆盖范围、组织和内容方面的实施情况:2021 年 2 月至 5 月期间进行了一项横向调查。调查内容包括丹麦所有 29 家心房颤动门诊医院的心房颤动患者教育的组织、实施和内容。调查通过电子邮件和电话进行。2022 年 5 月,通过电子邮件进行了为期一年的随访。16家医院(55%)的患者教育由医护人员提供。13家(45%)医院未开展患者教育的原因包括护士人力问题、管理问题、未将患者教育作为优先事项以及缺乏实施指导。患者教育的结构因集体或个人教学方法而异,共采用了六种不同的教育模式。房颤疾病教育的内容大体相似。在为期一年的随访中,另有四家医院表示提供了患者教育(共占 69%):结论:最初,几乎一半的医院没有提供患者教育,但在一年的随访中,69%的医院提供了患者教育。患者教育在提供方式、频率和持续时间方面存在差异。未来的研究应针对个体化的患者教育进行探讨,这可能会在提高生活质量、减少入院次数和延长寿命等方面显示出优越性。
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Implementation of patient education for patients with atrial fibrillation: nationwide cross-sectional survey and one-year follow-up.

Aims: Clinical practice guidelines recommend patient education for patients with atrial fibrillation (AF) as a part of holistic care, however, clinical guidelines lack detailed specification on the content, structure, and delivery of AF education programmes. To examine the implementation of education for patients with AF in Denmark in relation to coverage, organization, and content.

Methods and results: A cross-sectional survey was conducted from February to May 2021. The survey contained questions on the organization, delivery, and content of education for patients with AF from all 29 AF outpatient hospital sites in Denmark. The survey was conducted by email and telephone. One-year follow-up was done in May 2022 by email. Patient education was provided by healthcare professionals in 16 (55%) hospitals. Nurse workforce issues, management, non-prioritization, and lack of guidance for implementation were reasons for the absence of patient education in 13 (45%) hospitals. The structure of patient education differed in relation to group or individual teaching methods and six different education models were used. Content of the AF disease education was generally similar. At 1-year follow-up, another four hospitals reported offering patient education (69% in total).

Conclusion: Initially, almost half of the hospitals did not provide patient education, but at 1-year follow-up, 69% of hospitals delivered patient education. Patient education was heterogeneous in relation to delivery, frequency, and duration. Future research should address individualized patient education that may demonstrate superiority in relation to quality of life, less hospital admissions, and increased longevity.

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来源期刊
European Journal of Cardiovascular Nursing
European Journal of Cardiovascular Nursing CARDIAC & CARDIOVASCULAR SYSTEMS-NURSING
CiteScore
5.10
自引率
10.30%
发文量
247
审稿时长
6-12 weeks
期刊介绍: The peer-reviewed journal of the European Society of Cardiology’s Council on Cardiovascular Nursing and Allied Professions (CCNAP) covering the broad field of cardiovascular nursing including chronic and acute care, cardiac rehabilitation, primary and secondary prevention, heart failure, acute coronary syndromes, interventional cardiology, cardiac care, and vascular nursing.
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