Kathryn A Wood1, Angel H Barnes2, Sudeshna Paul3, Kristina A Hines4, Kevin P Jackson5. 1. Emory University School of Nursing, USA. Electronic address: kathryn.wood@emory.edu. 2. Duke University School of Nursing, USA. Electronic address: angel.barnes@duke.edu. 3. Emory University School of Nursing, USA. Electronic address: sudeshna.paul@emory.edu. 4. Duke University School of Medicine, USA. Electronic address: kristina.hines@gmail.com. 5. Division of Clinical Cardiac Electrophysiology, Duke University Medical Center, USA. Electronic address: k.j@duke.edu.
Abstract
BACKGROUND: It is unclear what symptom challenges occur during the recovery phase after atrial fibrillation (AF) ablation. OBJECTIVES: This longitudinal pilot study explored the patient perspective of the first six months following an AF ablation. METHODS: Telephone interviews and questionnaires were used with 20 patients at baseline, at 1, 3, and 6 months after AF ablation. Telephone interview data were analyzed using content analysis. Longitudinal outcomes were analyzed using repeated measures analysis of variance (ANOVA). RESULTS: Mean age was 65 ± 7 years and the sample was 55% female. The severity and duration of fatigue was the most concerning symptom. Patient expectations differed from providers' expectations. Recovery was a much slower process than patients expected. CONCLUSIONS: Patients struggled to manage symptoms after AF ablation. A more accurate understanding of the symptom challenges following AF ablation could lead to development of more realistic education to improve patient self-management.
BACKGROUND: It is unclear what symptom challenges occur during the recovery phase after atrial fibrillation (AF) ablation. OBJECTIVES: This longitudinal pilot study explored the patient perspective of the first six months following an AF ablation. METHODS: Telephone interviews and questionnaires were used with 20 patients at baseline, at 1, 3, and 6 months after AF ablation. Telephone interview data were analyzed using content analysis. Longitudinal outcomes were analyzed using repeated measures analysis of variance (ANOVA). RESULTS: Mean age was 65 ± 7 years and the sample was 55% female. The severity and duration of fatigue was the most concerning symptom. Patient expectations differed from providers' expectations. Recovery was a much slower process than patients expected. CONCLUSIONS:Patients struggled to manage symptoms after AF ablation. A more accurate understanding of the symptom challenges following AF ablation could lead to development of more realistic education to improve patient self-management.
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