التفاصيل البيبلوغرافية
| العنوان: |
Nurse-led multi-component behavioural activation programme to improve health outcomes in patients with atrial fibrillation: a mixed-methods study and feasibility analysis. |
| المؤلفون: |
Li, Polly W C, Yu, Doris S F, Yan, Bryan P |
| المصدر: |
European Journal of Cardiovascular Nursing; Aug2023, Vol. 22 Issue 6, p655-663, 9p |
| مصطلحات موضوعية: |
EVALUATION of medical care, PILOT projects, STATISTICS, EVALUATION of human services programs, NURSES' attitudes, STROKE, RESEARCH methodology, ONE-way analysis of variance, ATRIAL fibrillation, BEHAVIOR therapy, HEALTH status indicators, ANTICOAGULANTS, HEALTH literacy, QUALITATIVE research, RANDOMIZED controlled trials, SURVEYS, KNOWLEDGE base, DRUGS, DECISION making, RESEARCH funding, QUALITY of life, MENTAL depression, PATIENT compliance, ANXIETY, DATA analysis, DECISION making in clinical medicine, NURSING interventions, PSYCHOLOGICAL stress, DISEASE management, HEALTH self-care, DISEASE risk factors |
| مستخلص: |
Aims Patients with atrial fibrillation (AF) play passive roles in disease management. This study aimed to examine the feasibility and preliminary effects of an empowerment-based care model, titled 'the nurse-led multi-component behavioural activation (N-MBA) programme', on health-related quality of life, AF knowledge, psychological outcomes, medication adherence, and treatment decision-making in patients with AF. Methods and results This mixed-methods study comprised a pilot randomized controlled trial and a qualitative study. Patients with AF who had a moderate-to-high risk of stroke but were not prescribed oral anticoagulants were recruited. Forty participants were recruited and randomized in a 1:1 ratio to receive either the N-MBA programme or standard care. The 13-week programme comprised care components that prepared patients for shared decision-making, an empowerment-based educational module on AF self-care, and continuous support through telephone calls. The programme was feasible, and the overall attendance rate was 82.5%. The participants gave excellent ratings in the satisfaction survey. The N-MBA group showed greater improvements in health-related quality of life (HRQoL) and AF knowledge than the standard care group at the immediate post intervention and 6-month follow-up time points. No significant between-group changes in medication adherence, anxiety, and depression were detected. Participants in the N-MBA group actively raised concerns about AF and its treatment with their attending doctors. The qualitative data were consistent with the quantitative data, indicating that the programme built a comprehensive knowledge base of AF and self-care behaviours. Conclusion The N-MBA programme is feasible and acceptable to patients with AF. It improved patients' AF knowledge, treatment-related decision-making, and HRQoL. Registration ClinicalTrials.gov NCT03924739 [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
