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http://dx.doi.org/10.15207/JKCS.2021.12.6.249

The level of Knowledge Related to Disease in Patients with Atrial fibrillation  

Kim, Kyunghee (Department of Nursing, Chung-Ang University)
Song, Juhyun (Department of Nursing, Chung-Ang University)
Shin, Seung Yong (Department of Cardiology, Chung-Ang University Hospital)
Publication Information
Journal of the Korea Convergence Society / v.12, no.6, 2021 , pp. 249-258 More about this Journal
Abstract
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.
Keywords
atrial fibrillation; knowledge; non-vitamin K antagonist oral anticoagulants; vitamin K antagonists;
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1 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.
2 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   DOI
3 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   DOI
4 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   DOI
5 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   DOI
6 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   DOI
7 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   DOI
8 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   DOI
9 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   DOI
10 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   DOI
11 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   DOI
12 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   DOI
13 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   DOI
14 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   DOI
15 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   DOI
16 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   DOI
17 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   DOI
18 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   DOI
19 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   DOI
20 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   DOI
21 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   DOI
22 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   DOI
23 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   DOI
24 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   DOI
25 S. Holding, C. Russell & K. Tyndall. (2013). Treating and managing atrial fibrillation. Nursing Times, 109(31-32), 16-19.
26 S. T. Heidt et al. (2016). Symptoms in atrial fibrillation: a contemporary review and future directions. Journal of Atrial Fibrillation, 9(1). 82-92.
27 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   DOI
28 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   DOI
29 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   DOI
30 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   DOI
31 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   DOI
32 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
33 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   DOI
34 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   DOI
35 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   DOI