Nurse-led care after ablation of atrial fibrillation: a randomized controlled trial.

Autor:	Vanharen Y; Department of Cardiology, ZNA Heart Centre, Lindendreef 1, 2020 Antwerpen, Belgium.; Department of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Antwerpen 2610, Belgium., Abugattas de Torres JP; Department of Cardiology, ULB Erasmus Hospital, Lenniksebaan 808, 1070 Anderlecht, Belgium., Adriaenssens B; Department of Cardiology, ZNA Heart Centre, Lindendreef 1, 2020 Antwerpen, Belgium.; Department of Cardiology, AZ Sint-Niklaas, Moerlandstraat 1, 9100 Sint-Niklaas, Belgium., Convens C; Department of Cardiology, ZNA Heart Centre, Lindendreef 1, 2020 Antwerpen, Belgium., Schwagten B; Department of Cardiology, ZNA Heart Centre, Lindendreef 1, 2020 Antwerpen, Belgium., Tijskens M; Department of Cardiology, ZNA Heart Centre, Lindendreef 1, 2020 Antwerpen, Belgium., Wolf M; Department of Cardiology, ZNA Heart Centre, Lindendreef 1, 2020 Antwerpen, Belgium., Goossens E; Department of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Antwerpen 2610, Belgium.; Department of Public Health and Primary Care, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.; Department of Patient Care, Antwerp University Hospital, Drie Eikenstraat 655, 2650 Edegem, Belgium., Van Bogaert P; Department of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Antwerpen 2610, Belgium., de Greef Y; Department of Cardiology, ZNA Heart Centre, Lindendreef 1, 2020 Antwerpen, Belgium.; Heart Rhythm Management Centre, University Hospital Brussels, Laarbeeklaan 101, 1090 Jette, Belgium.
Jazyk:	angličtina
Zdroj:	European journal of preventive cardiology [Eur J Prev Cardiol] 2023 Oct 26; Vol. 30 (15), pp. 1599-1607.
DOI:	10.1093/eurjpc/zwad117
Abstrakt:	Aims: The added value of advanced practitioner nurse (APN) care after ablation of atrial fibrillation (AF) is unknown. The present study investigates the impact of APN-led care on AF recurrence, patient knowledge, lifestyle, and patient satisfaction. Methods and Results: Sixty-five patients undergoing AF ablation were prospectively randomized to usual care (N = 33) or intervention (N = 32) group. In addition to usual care, the intervention consisted of an educational session, three consultations spread over 6 months and telephone accessibility coordinated by the APN. Primary outcome was the AF recurrence rate at 6-month follow-up. Secondary outcomes were lifestyle factors (alcohol intake, exercise, BMI, smoking), patient satisfaction and AF knowledge measured at 1 and 6 months between groups and within each group. Study demographics at 1 month were similar, except AF knowledge was higher in the intervention group (8.6 vs. 7, P = 0.001). At 6 months, AF recurrence was significantly lower in the intervention group (13.5 vs. 39.4%, P = 0.014). Between groups, patient satisfaction and AF knowledge were significantly higher in the intervention group, respectively, 9.4 vs. 8.7 (P < 0.001) and 8.6 vs. 7.0 out of 10 (P < 0.001). Within the intervention group, alcohol intake decreased from 3.9 to 2.6 units per week (P = 0.031) and physical activity increased from 224.4 ± 210.7 to 283.8 ± 169.3 (P = 0.048). No changes occurred within the usual care group. Assignment to the intervention group was the only protective factor for AF recurrence [Exp(B) 0.299, P = 0.04] in multivariable-adjusted analysis. Conclusion: Adding APN-led care after ablation of AF improves short-term clinical outcome, patient satisfaction and physical activity and decreases alcohol intake. Competing Interests: Conflict of interest: None declared. (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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