[논문]심방세동 환자의 질병관련 지식 정도

김경희; 송주현; 신승용

doi:10.15207/jkcs.2021.12.6.249

심방세동 환자의 질병관련 지식 정도
The level of Knowledge Related to Disease in Patients with Atrial fibrillation 원문보기

한국융합학회논문지 = Journal of the Korea Convergence Society, v.12 no.6, 2021년, pp.249 - 258

김경희 (중앙대학교 간호학과) , 송주현 (중앙대학교 간호학과) , 신승용 (중앙대학교병원 순환기내과)

초록
AI-Helper

본 연구는 심방세동 환자를 대상으로 심방세동 질병관련 지식 정도를 파악하고자 시도되었다. 지식측정을 위해 JAKQ와 KAFSP 측정 도구를 사용하였으며, 222명의 대상자가 설문지에 응답하였다. JAKQ와 KAFSP의 평균 점수는 각 54.7점, 18.5점이었으며. 심방세동 환자들은 대체로 심방세동이 뇌졸중을 유발하며, 혈전 예방을 위해 항응고제를 복용해야 하는 점에 대해 잘 알고 있었으나, 항응고제 복용 시 주의사항과 심방세동의 증상 및 치료법에 대한 지식은 부족하였다. 항응고요법에 따른 심방세동 질병관련 지식 점수는 통계적으로 유의한 차이는 없으며, VKA 관련 지식의 정도가 낮았다. 또한, JAKQ와 KAFSP 모두 교육수준에 따른 심방세동 질병관련 지식 점수는 통계적으로 유의한 차이가 있었다. 이러한 결과를 바탕으로 심방세동 환자의 지식 향상을 위해 맞춤형 교육프로그램 개발이 필요함을 알 수 있다.

Abstract ▼ AI-Helper

The aim of this study was to determine the level of knowledge related to disease in patients with atrial fibrillation. We used the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ) and Knowledge of Atrial Fibrillation and Stroke Prevention Questionnaire(KAFSP). A total of 222 AF patients completed the JAKQ and KAFSP. The mean score of the JAKQ and KAFSP 54.7 and 18.5 points, respectively. In general, patients with Atrial fibrillation were well aware that atrial fibrillation causes stroke and that anticoagulants should be taken to prevent blood clots. However, they were not well aware of the precautions for taking anticoagulants, symptoms of atrial fibrillation, and treatment of atrial fibrillation. There was no statistically significant difference in atrial fibrillation knowledge score according to anticoagulants but the degree of knowledge related to VKA was low in patients taking VKA. The both score of JAKQ and KAFSP had significant differences in atrial fibrillation knowledge depending on the level of education. Based on these finding, it is necessary to develop a customized education program in order to improve the knowledge of patients with atrial fibrillation.

주제어

표/그림 (4)

표 Table 1. Characteristics of the study population (N=222)
표 Table 2. Score on the JAKQ and the KAFSP Knowledge(N= 222)
표 Table 3. Specific topics addressed in the JAKQ with the percentage of correct response
표 Table 4. Differences in the JAKQ and KAFSP Knowledge by Characteristics (N= 222)

참고문헌 (35)

C. T. January et al. (2014). 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. Journal of the American College of Cardiology, 64(21), e1-e76. DOI: 10.1016/j.jacc.2014.03.022

상세보기
E. J. Benjamin et al. (2019). Heart disease and stroke statistics-2019 update: a report from the American Heart Association. Circulation, 139(10), e56-e528. DOI: 10.1161/CIR.0000000000000659

상세보기
P. Kirchhof et al. (2016). 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. European Journal of Cardio-Thoracic Surgery, 50(5), e1-e88. DOI: 10.1093/ejcts/ezw313

상세보기
M. Altiok, M. Yilmaz & I. Rencusogullari (2015). Living with atrial fibrillation: an analysis of patients' perspectives. Asian Nursing Research, 9(4), 305-311. DOI: 10.1016/j.anr.2015.10.001

상세보기
V. Srinonprasert et al. (2019). Factors associated with low health-related quality of life among younger and older Thai patients with non-valvular atrial fibrillation. Quality of Life Research, 28(8), 2091-2098. DOI: 10.1007/s11136-019-02171-3

상세보기
D. T. Hayden et al. (2015). Rates and Determinants of 5-Year Outcomes After Atrial Fibrillation-Related Stroke: A Population Study. Stroke, 46(12), 3488-3493. DOI: 10.1161/STROKEAHA.115.011139

상세보기
M. K. Son, N. K. Lim, H. W. Kim & H. Y. Park (2017). Risk of ischemic stroke after atrial fibrillation diagnosis: a national sample cohort. PloS one, 12(6), e0179687. DOI: 10.1371/journal.pone.0179687

상세보기
S. T. Heidt et al. (2016). Symptoms in atrial fibrillation: a contemporary review and future directions. Journal of Atrial Fibrillation, 9(1). 82-92.
H. Akiyama & Y. Hasegawa. (2018). Awareness of atrial fibrillation in Japan: A large-scale, nationwide Internet survey of 50 000 Japanese adults. Geriatrics & Gerontology International, 18(7), 1100-1107. DOI: 10.1111/ggi.13318

상세보기
J. Park et al. (2018). The 2018 Korean Heart Rhythm Society Guidelines for Integrated Management of Korean patients with Nonvalvular Atrial Fibrillation. Korean Journal of Medicine, 93(4). DOI: 10.3904/kjm.2018.93.4.336

상세보기
S. Holding, C. Russell & K. Tyndall. (2013). Treating and managing atrial fibrillation. Nursing Times, 109(31-32), 16-19.
A. Fournaise, J. Skov, E. M. Bladbjerg & A. Leppin. (2015). Stroke risk perception in atrial fibrillation patients is not associated with clinical stroke risk. Journal of Stroke and Cerebrovascular Diseases, 24(11), 2527-2532. DOI: 10.1016/j.jstrokecerebrovasdis.2015.06.040

상세보기
M. B. Smith et al. (2010). Warfarin knowledge in patients with atrial fibrillation: implications for safety, efficacy, and education strategies. Cardiology, 116(1), 61-69. DOI: 10.1159/000314936

상세보기
N. J. Davis, H. H. Billett, H. W. Cohen & J. H. Arnsten. (2005). Impact of adherence, knowledge, and quality of life on anticoagulation control. Annals of Pharmacotherapy, 39(4), 632-636. DOI: 10.1345/aph.1E464

상세보기
C. A. Rolls et al. (2017). The relationship between knowledge, health literacy, and adherence among patients taking oral anticoagulants for stroke thromboprophylaxis in atrial fibrillation. Cardiovascular Therapeutics, 35(6), e12304. DOI: 10.1111/1755-5922.12304

상세보기
D. A. Lane, J. Ponsford, A. Shelley, A. Sirpal & G. Y. Lip. (2006). Patient knowledge and perceptions of atrial fibrillation and anticoagulant therapy: effects of an educational intervention programme: the West Birmingham Atrial Fibrillation Project. International Journal of Cardiology, 110(3), 354-358. DOI: 10.1016/j.ijcard.2005.07.031

상세보기
P. J. McCabe. (2008). Self-management of atrial fibrillation: a new frontier for nursing research. Progress in Cardiovascular Nursing, 23(1), 37-40. DOI: 10.1111/j.1751-7117.2008.tb00530.x

상세보기
D. A. Lane et al. (2015). Cardiac tachyarrhythmias and patient values and preferences for their management: the European Heart Rhythm Association (EHRA) consensus document endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLEACE). Ep Europace, 17(12), 1747-1769. DOI: 10.1093/europace/euv233

상세보기
S. Salmasi et al. (2019). Assessment of atrial fibrillation patients' education needs from patient and clinician perspectives: a qualitative descriptive study. Thrombosis Research, 173, 109-116. DOI: 10.1016/j.thromres.2018.11.015

상세보기
T. Rajs et al. (2020). Low Level of Knowledge of Atrial Fibrillation and Anticoagulant Treatment among Patients with Atrial Fibrillation Scheduled for Cardiac Surgery. Journal of Integrative Cardiology Open Access, 3(1). DOI: 10.31487/j.JICOA.2020.01.07
S. Mohamed, T. Abdul Razak, R. Hashim, & Z. Mohd Ali. (2017). Knowledge of atrial fibrillation and stroke prevention: Development of questionnaire and validation of results. Journal of Pharmacy Technology, 33(1), 31-39. DOI: 10.1177/8755122516681820

상세보기
L. Desteghe et al. (2016). Knowledge gaps in patients with atrial fibrillation revealed by a new validated knowledge questionnaire. International Journal of Cardiology, 223, 906-914. DOI: 10.1016/j.ijcard.2016.08.303

상세보기
Y. H. Oh & S. Y. Hwang. (2021). Individualized education focusing on self-management improved the knowledge and self-management behaviour of elderly people with atrial fibrillation: A randomized controlled trial. International Journal of Nursing Practice, e12902. DOI: 10.1111/ijn.12902

상세보기
Y. J. Son & K. H. Baek. (2017). The Analysis of Research Topics and Their Instruments of Atrial Fibrillation Patients in Korea : Based on Domestic Nursing Research Papers (2000-2017). Asia-pacific Journal of Multimedia services convergent with Art, Humanities, and Sociology, 7, 669-682. DOI: 10.35873/AJMAHS.2017.7.10.061

상세보기
S. H. Chu, S. M. Kang, D. R. Kim & Y. J. Lee. (2012). Perceptions of Anticoagulation Therapy and Medication Adherence among Patients taking Warfarin. Journal of Korean Biological Nursing Science, 14(1), 66-75. DOI: 10.7586/JKBNS.2012.14.1.66

원문보기 상세보기
A. R. Kil. (2019). The relationship between warfarin related knowledge, self- efficacy and medication adherence of patient with prosthetic heart valves. Doctoral dissertation. Hanyang University, Seoul. DOI: 10.5762/KAIS.2020.21.1.584
M. M. Zeolla, M. R. Brodeur, A. Dominelli, S. T. Haines & N. D. Allie. (2006). Development and validation of an instrument to determine patient knowledge: the oral anticoagulation knowledge test. Annals of Pharmacotherapy, 40(4), 633-638. DOI: 10.1345/aph.1G562

상세보기
M. J. Cha et al. (2017). Effectiveness and safety of non-vitamin K antagonist oral anticoagulants in Asian patients with atrial fibrillation. Stroke, 48(11), 3040-3048. DOI: 10.1161/STROKEAHA.117.018773

상세보기
M. Konieczynska et al. (2018). Differences in knowledge among patients with atrial fibrillation receiving non-vitamin K antagonist oral anticoagulants and vitamin K antagonists. Kardiologia Polska Polish Heart Journal, 76(7). 1089-1096. DOI: 10.5603/KP.a2018.0069

상세보기
L. Desteghe et al. (2019). Effect of reinforced, targeted in-person education using the Jessa Atrial fibrillation Knowledge Questionnaire in patients with atrial fibrillation: A randomized controlled trial. European Journal of Cardiovascular Nursing, 18(3), 194-203. DOI: 10.1177/1474515118804353

상세보기
M. Konieczynska, P. Bijak, L. Desteghe, H. Heidbuchel & A. Undas. (2019). Knowledge gaps in patients with venous thromboembolism: usefulness of a new questionnaire. Polskie Archiwum Medycyny Wewnetrznej Polish Archives of Internal Medicine, 129(1). 28-35. DOI: 10.20452/pamw.4384
L. Desteghe et al.. (2018). Effectiveness and usability of an online tailored education platform for atrial fibrillation patients undergoing a direct current cardioversion or pulmonary vein isolation. International Journal of Cardiology, 272, 123-129. DOI: 10.1016/j.ijcard.2018.07.065

상세보기
T. R. Knapp. (1991). Focus on psychometrics. Coefficient alpha: Conceptualizations and anomalies. Research in Nursing & Health, 14(6), 457-460. DOI: 10.1002/nur.4770140610

상세보기
C. G. Yeong & H. M. Nam. (2019). Mediating Effects of Health Belief on the Correlations among Disease-related Knowledge, eHealth Literacy, and Self-care Behaviors in Outpatients with Hypertension. Korean Journal of Adult Nursing, 31(6), 638-649. DOI: 10.7475/kjan.2019.31.6.638

상세보기
Y. M. Lee, Y. J. Son & E. J. Lee. (2012). Health literacy, disease-related knowledge, self-efficacy and self-care behavior in patients with diabetes mellitus. Journal of the Korean Data Analysis Society, 14(6), 3087-3101.

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