Document Detail


Patients' experiences from symptom onset to initial treatment for atrial fibrillation.
MedLine Citation:
PMID:  25421608     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIMS AND OBJECTIVES: To describe patients' experiences from symptom onset to initial treatment for atrial fibrillation.
BACKGROUND: The estimated number of individuals with atrial fibrillation globally in 2010 was 33·5 million. World-wide, each year, new cases of atrial fibrillation approach 5 million, and prevalence will increase 2·5-fold by 2050. As a result, clinicians worldwide will treat a growing number of patients with atrial fibrillation. Early intervention to promote atrial fibrillation self-management is critical to reduce associated complications of stroke and heart failure. Greater understanding of patients' experiences from symptom onset to initial treatment for atrial fibrillation is needed to guide development of interventions to promote early effective self-management.
DESIGN: A descriptive qualitative design was used.
METHODS: Twenty females and 21 males at an academic medical centre were interviewed using open-ended questions to explore their experiences from symptom onset to initial treatment for atrial fibrillation. Data were analysed using qualitative content analysis.
RESULTS: Participants' mean age was 64·3 (SD = 10·1) years. Four themes were identified: (1) misinterpreting symptoms; (2) discovering the meaning of atrial fibrillation; (3) facing fears, uncertainty, and moving to acceptance; and (4) receiving validation and reassurance. Participants lacked knowledge of atrial fibrillation and took cues from providers' responses to appraise symptoms and diagnosis. Fear and uncertainty were reduced when providers initiated prompt treatment and took time to explain atrial fibrillation. Patients appreciated receiving clear information about atrial fibrillation, were engaged in learning, and motivated to participate in their care.
CONCLUSIONS: Providers played a critical role in helping patients to develop an accurate understanding of atrial fibrillation, to cope with the new diagnosis, and motivated them to engage in effective self-management.
RELEVANCE TO CLINICAL PRACTICE: Insight into participant experiences from symptom onset to initial treatment for atrial fibrillation may inform development of interventions to promote effective atrial fibrillation self-management.
Authors:
Pamela J McCabe; Lori M Rhudy; Holli A DeVon
Related Documents :
14980938 - The effect of bupivacaine on myocardial tissue hypoxia and acidosis during ventricular ...
20890008 - A patient with commotio cordis successfully resuscitated by bystander cardiopulmonary r...
22924268 - Severe acute caffeine poisoning due to intradermal injections: mesotherapy hazard.
16326298 - Effectiveness and safety of internal rectilinear biphasic versus monophasic defibrillat...
852338 - Cardiac metastases in lung cancer.
19619708 - Use of myocardial deformation imaging to detect preclinical myocardial dysfunction befo...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-25
Journal Detail:
Title:  Journal of clinical nursing     Volume:  -     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-25     Completed Date:  -     Revised Date:  2014-11-26    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2014 John Wiley & Sons Ltd.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Achromobacter buckle infection diagnosed by a 16S rDNA clone library analysis: a case report.
Next Document:  Therapeutic activity of glycoengineered anti-GM2 antibodies against malignant pleural mesothelioma.