多学科协作随访模式在心房颤动患者射频消融术后空白期的应用

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Abstract Objective To explore the application of multidisciplinary collaborative follow-up model in patients with atrial fibrillation in the blank period after radiofrequency ablation. Methods A total of 120 patients with radiofrequency ablation of atrial fibrillation for the first time admitted to the Cardiovascular Center of Beijing Tongren Hospital, Capital Medical University from January 2018 to May 2020 were enrolled. According to the random number table method, they were divided into two groups, the control group (60 cases) received routine follow-up model, and the experimental group (60 cases) received multidisciplinary collaborative follow-up model. Both groups were followed up at 2 weeks, 1 month, 2 months and 3 months after discharge. The differences in all dimensions scores of atrial fibrillation effect on quality-of-life (AFEQT) scale between the two groups on the day of discharge and three months after follow-up and other outcome indicators (smoking cessation rate, alcohol abstinence rate, drug omission rate, atrial fibrillation recurrence rate, body mass index difference of overweight patients, readmission rate, bleeding event rate, self-evaluation of health) were compared. Results After three months of follow-up, the differences in all dimensions scores of AFEQT scale, abstinence rate and body mass index difference of overweight patients in experimental group were higher than those in control group, drug omission rate was lower than that in control group, and the self-evaluation of health was better than that in control group, with statistical significance (all P ＜ 0.05). There were no significant differences in smoking cessation rate, atrial fibrillation recurrence rate, readmission rate and bleeding event rate between the two groups (P ＞ 0.05). Conclusion Multidisciplinary collaborative follow-up model is effective in alcohol consumption, weight control, medication management and self-evaluation of health, which can improve the quality of life of patients with atrial fibrillation in the postoperative blank period, and is worthy of promotion and application in clinical nursing work.

Key words： Multidisciplinary collaborative Atrial fibrillation Radiofrequency ablation Blank period

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	LIU Ping1 WANG Yanling2▲ SUN Tingting1 ZHANG Zhili1

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LIU Ping1 WANG Yanling2▲ SUN Tingting1 ZHANG Zhili1. Application of multidisciplinary collaborative follow-up model in patients with atrial fibrillation in the blank period after radiofrequency ablation[J]. 中国医药导报, 2021, 18(11): 73-77.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I11/73

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