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Published on: July 20, 2022
Lifestyle of Patients with Atrial Fibrillation Following Self-Management Interventions: a Randomized Clinical Trial
Mahnaz Rakhshan1, Hojatolah Najafi2, Gholam Abbas Valizadeh3
1Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Insights
Self-management interventions significantly improved the lifestyle of patients with Atrial Fibrillation (AF). This approach can help manage AF and prevent associated health issues.
Area of Science:
- Cardiology
- Public Health
- Nursing
Background:
- Cardiovascular diseases, particularly Atrial Fibrillation (AF), are a leading cause of mortality globally.
- Atrial Fibrillation (AF) poses a significant and growing health challenge.
- Lifestyle factors are crucial in managing chronic conditions like AF.
Purpose of the Study:
- To evaluate the impact of self-management interventions on the lifestyle of patients diagnosed with Atrial Fibrillation (AF).
Main Methods:
- A Randomized Clinical Trial involving 88 patients with Atrial Fibrillation (AF).
- Intervention group received education and telephone follow-ups; control group did not.
- Lifestyle was assessed using Walker's Health-Promoting Lifestyle Profile II at baseline, 4, and 12 weeks post-intervention.
Main Results:
- Patients in the intervention group demonstrated a significant improvement in their overall lifestyle mean score.
- Lifestyle improvements were observed at both 4 and 12 weeks after the self-management interventions.
- The positive impact on lifestyle varied across different dimensions of health promotion.
Conclusions:
- Self-management interventions are effective in enhancing the lifestyle of individuals with Atrial Fibrillation (AF).
- These findings support the integration of self-management strategies into nursing care plans for AF patients.
- Implementing these interventions can mitigate physical, psychological, and social challenges faced by AF patients.
Abstract:
Introduction: Cardiovascular diseases are the most common cause of death in most countries, such as Iran. Cardiac arrhythmias, including Atrial Fibrillation (AF) comprise an important category of these diseases. During recent years, AF has become a serious medical condition. This study aimed to investigate the effect of self-management interventions on the lifestyle of patients with AF. Methods: In this Randomized Clinical Trial study, 88 patients were selected and randomly assigned to intervention and control groups. The intervention group received self-management interventions, including education and telephone follow-ups. The data were collected using a demographic questionnaire and Walker's health-promoting lifestyle profile II, before the intervention and four and twelve weeks after the intervention. The significance level was considered to be 0.05. Results: The results showed a significant increase in the intervention group's lifestyle mean score, four and twelve weeks after the intervention as compared with control group However, this increase was not similar in all the lifestyle dimensions. Conclusion: In conclusion, implementation of self-management interventions could improve the lifestyle of the patients with Atrial Fibrillation. The results can help nurses to conduct self-management interventions into such patients' care plan and prevent many physical, psychological, and social problems that negatively affect patients and their lifestyle.
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