摘要
Abstract
Objective To investigate uncertainty in illness among patients with atrial fibrillation before and after radiofrequency catheter ablation and its influencing factors. Methods From September 2014 to January 2015,a convenience sample of 110 patients with atrial fibrillation who underwent radiofrequency catheter ablation in Department of Cardiovascular Medicine,Tianjin Medical University General Hospital,were enrolled to complete a self - designed demographic questionnaire and Social Support Rating Scale(SSRS)before treatment. The uncertainty in illness among patients with atrial fibrillation in the day before radiofrequency catheter ablation and in the day before discharge,was assessed by Mishel Uncertainty in Illness Scale (MUIS). Results A total of 110 questionnaires were distributed,110 were recovered,102 questionnaires were effective,with an effective rate of 92. 7% . Among 102 patients,10 patients(9. 8% )had low - level social support,77 patients(75. 5% ) had moderate - level social support,and 15 patients(14. 7% ) had high - level social support. The score of MUIS in the day before radiofrequency catheter ablation was(92. 7 ± 9. 0)points. In the day before radiofrequency catheter ablation,3 patients (2. 9% )had low - level uncertainty in illness,98 patients(96. 1% )had moderate - level uncertainty in illness,and 1 patients(1. 0% )had high - level uncertainty in illness. The score of MUIS in the day before discharge was(82. 9 ± 10. 6) points. In the day before discharge,23 patients(22. 5% ) had low - level uncertainty in illness,78 patients(76. 5% ) had moderate - level uncertainty in illness,and 1 patients(1. 0% )had high - level uncertainty in illness. The total score and score of different dimensions of MUIS in the day before discharge were significantly lower than those in the day before radiofrequency catheter ablation(P ﹤ 0. 01). The univariate analysis showed that there were significant differences in score of MUIS in the day before radiofrequency catheter ablation among groups with different age,educational level,frequency of catheter ablation,family history of atrial fibrillation and the type of comorbidities(P ﹤ 0. 05). The educational level,frequency of catheter ablation and recurrence of artial fibrillation before discharge affected the total score of MUIS in the day before discharge( P ﹤ 0. 05). The multiple linear regression analysis showed that age,education level,frequency of catheter ablation and family history of atrial fibrillation were the influencing factors of total score of MUIS in the day before radiofrequency catheter ablation(P ﹤ 0. 05);the education level,frequency of catheter ablation and recurrence before discharge were the influencing factors of total score of MUIS in the day before discharge. Conclusion The level of uncertainty in illness among patients with atrial fibrillation was moderate in the day before radiofrequency catheter and in the day before discharge. Age,educational level,frequency of catheter ablation and family history of atrial fibrillation are the influencing factors of uncertainty in illness among patients with atrial fibrillation in the day before radiofrequency catheter ablation. Educational level,frequency of catheter ablation and recurrence of atrial fibrillation before discharge are the influencing factors of uncertainty in illness among patients with atrial fibrillation in the day before discharge.关键词
心房颤动/导管消融术/疾病不确定感/影响因素分析Key words
Atrial fibrillation/Catheter ablation/Uncertainty in illness/Root cause analysis分类
医药卫生
