Long-term benefits of education by emergency care nurses at discharge of patients with atrial fibrillation
Long-term benefits of education by emergency care nurses at discharge of patients with atrial fibrillation
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DOI：
10.1016/j.ienj.2017.03.006
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发表时间：
2017-11-01
影响因子：
1.8
通讯作者：
Coll-Vinent, Blanca
中科院分区：
文献类型：
--
作者：
Fuenzalida, Carolina;Hernandez, Gritzel;Coll-Vinent, Blanca
前言与目的：健康教育可改善多种疾病的预后。先前对房颤患者的研究表明，在3个月的随访中，急诊室(ER)出院时护士的教育干预减少了与房颤相关的并发症。我们的目标是确定这项干预是否具有长期效果。患者和方法：一项前瞻性研究评估了出院时进行的干预的结果。被诊断为房颤的患者被随机分为两组：干预组和对照组。干预包括对心律失常及其治疗的基本解释，预防和警告迹象，为他们量脉的培训，以及个性化的信息传单。在一年的随访中，所有参与者的临床记录都被复习了。主要变量是房颤相关或治疗相关并发症和死亡的联合终点。结果：研究包括240名患者(116名干预组和124名对照组)，平均年龄76.1+/-10.9岁。干预组的主要变量显著低于干预组(31.9%比48.4%；p=0.005)。结论：出院时急诊室护士的教育有助于减少一年随访的房颤相关并发症。(C)爱思唯尔有限公司发布的2017年。
Introduction and objective: Health education improves the prognosis of many diseases. A previous study in patients with atrial fibrillation (AF) showed that an educational intervention by nurses at discharge from the emergency room (ER) decreased AF-related complications at 3-month follow-up. Our objective was to determine whether this intervention had a long-term effect.Patients and methods: A prospective study assessed the outcomes of an intervention carried out upon discharge from the ER. Patients with a diagnosis of AF were randomized into two groups: the intervention group and the control group. The intervention consisted of a basic explanation about the arrhythmia and its treatment, precautions and warning signs, a training to take their pulse, and an individualized informational leaflet. At one year of follow-up, the clinical records for all participants were reviewed. The primary variable was the combined endpoint of AF-related or treatment-related complications and death.Results: The study included 240 patients (116 intervention and 124 control), mean age 76.1 +/- 10.9 years. The primary variable was significantly lower in the intervention group (31.9% vs 48.4%; p = 0.005).Conclusion: Education by ER nurses at patient discharge helped to decrease AF-related complications at one year of follow-up. (C) 2017 Published by Elsevier Ltd.