Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Factors associated with involvement in risk communication and confidence in shared decision making among patients with atrial fibrillation.
Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.ORCID-id: 0000-0003-3817-4981
Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
Ryhov County Hospital, Jonkoping, Sweden, Department of Medicine, Jonkoping, Sweden.
Ryhov County Hospital, Jonkoping, Sweden, Department of Medicine, Jonkoping, Sweden.
Visa övriga samt affilieringar
2017 (Engelska)Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, nr Suppl. 1, s. S74-S75Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Abstract [en]

Background: Atrial fibrillation (AF) is a highly prevalent arrhythmia. Effective communication of risks (e.g., risk for stroke) and benefits to patients (e.g., treatment with oral anticoagulants) is crucial for shared decision making. Knowledge about how patients experience confidence and satisfaction in communication in relation to their health status is limited.

Aim: The aim was to explore factors associated with involvement in risk communication and confidence in shared decision making among patients with AF.

Method: A cross-sectional design was used and 322 patients (39 % women), mean age 67 years (SD 10.3 years) with AF were included at four hospitals in Sweden. Clinical examinations and self-rating scales for risk communication (COMRADE), uncertainty in illness (MUIS-C), depressive symptoms (HADS), mastery of daily life (MDL), as well as physical and mental health (SF-36) were used to collect data after a follow-up visit at the outpatient clinic 3 months post an AF episode.

Results: Paroxysmal, persistent and permanent AF occurred among 32%, 34% and 7% of the patients, respectively. Patients whom had undergone DC-conversion (53%) and had anticoagulants (37%). Seven percent had been treated by a percutan ablation. Heart failure (15%) and ischemic heart disease (12%) were the most common co-morbidities. CHA2DS2-VASc >2 were seen among 62% of the patients. Overall, multiple regression analyses showed that uncertainty in illness and mastery of daily life were significantly associated with confidence in decisions and uncertainty in illness and hypertension were significantly associated with satisfaction in communication. Higher uncertainty in illness and poorer mastery of daily life were associated with poor confidence in decisions. Higher uncertainty in illness and occurrence of hypertension were associated with poor satisfaction in communication. Clinical AF variables (i.e.,symptom or treatment related) or depressive symptoms were not significantly associated with satisfaction in communication or confidence in decisions in the multiple regression analysis. The final models explained 29% and 30% of the variance in confidence in decision making and satisfaction in communication.

Conclusion: In this cross-sectional study, including patients with AF, confidence in decision making and satisfaction in communication are associated with uncertainty in illness, mastery of daily life and hypertension.

Ort, förlag, år, upplaga, sidor
Sage Publications, 2017. Vol. 16, nr Suppl. 1, s. S74-S75
Nationell ämneskategori
Kardiologi Omvårdnad
Identifikatorer
URN: urn:nbn:se:hj:diva-35917ISI: 000401775600126OAI: oai:DiVA.org:hj-35917DiVA, id: diva2:1106950
Konferens
EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden
Tillgänglig från: 2017-06-08 Skapad: 2017-06-08 Senast uppdaterad: 2017-06-08Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

Personposter BETA

Hedberg, BerithMalm, DanBroström, Anders

Sök vidare i DiVA

Av författaren/redaktören
Hedberg, BerithMalm, DanBroström, Anders
Av organisationen
The Jönköping Academy for Improvement of Health and WelfareHHJ, Avd. för omvårdnad
I samma tidskrift
European Journal of Cardiovascular Nursing
KardiologiOmvårdnad

Sök vidare utanför DiVA

GoogleGoogle Scholar

urn-nbn

Altmetricpoäng

urn-nbn
Totalt: 432 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf