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JIA Min, SUN Chenling, RUI Xiaowen. Current situation of exercise fear in patients with atrial fibrillation during "blank period" after radiofrequency ablation and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2023, 27(13): 93-98. DOI: 10.7619/jcmp.20231228
Citation: JIA Min, SUN Chenling, RUI Xiaowen. Current situation of exercise fear in patients with atrial fibrillation during "blank period" after radiofrequency ablation and its influencing factors[J]. Journal of Clinical Medicine in Practice, 2023, 27(13): 93-98. DOI: 10.7619/jcmp.20231228
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Current situation of exercise fear in patients with atrial fibrillation during "blank period" after radiofrequency ablation and its influencing factors

  • Department of Cardiovascular Medicine, Taizhou People′s Hospital in Jiangsu Province, Taizhou, Jiangsu, 225300

More Information
  • Received Date: April 17, 2023
  • Revised Date: June 08, 2023
  • Available Online: July 18, 2023
    Graphical Abstract
    • Abstract
  • Objective 

    To investigate the current situation of exercise fear in patients with atrial fibrillation (AF) during "blank period" after radiofrequency ablation (RFCA) and its influencing factors.

    Methods 

    A total of 310 AF patients were selected as the study objects. The general information questionnaire, Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), Self-efficacy for Exercise (SEE) and University of Toronto Atrial Fibrillation Severity Scale (AFSS) were used to investigate 310 AF patients in the "blank period" after RFCA.

    Results 

    The total score of TSK-SV Heart in the "blank period" after RFCA in AF patients was (44.83±9.65), the total score of SEE was (38.59±16.28), and the total score of AFSS was (25.77±5.95). The results of multiple stepwise regression analysis showed that gender, education level, occupation type, residence situation, heart function, self-motor efficacy and the severity of AF symptoms were the influencing factors of exercise fear in the postoperative "blank period" (P < 0.05).

    Conclusion 

    The level of exercise fear in the "blank period" after RFCA is high in AF patients. Medical staff can intervene in the daily nursing management according to the above factors to reduce the exercise fear of patients and improve the postoperative rehabilitation effect.

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    • References (31)
  • [1]
    丁云美, 王茂敬, 李少玲, 等. 心房颤动患者射频消融术后"空白期"生活掌控感现状及影响因素[J]. 护理学杂志, 2021, 36(23): 21-24. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202123006.htm
    [2]
    SHI S B, TANG Y H, ZHAO Q Y, et al. Prevalence and risk of atrial fibrillation in China: a national cross-sectional epidemiological study[J]. Lancet Reg Health West Pac, 2022, 23: 100439. doi: 10.1016/j.lanwpc.2022.100439
    [3]
    DIENER H C, HART R G, KOUDSTAAL P J, et al. Atrial fibrillation and cognitive function: JACC review topic of the week[J]. J Am Coll Cardiol, 2019, 73(5): 612-619. doi: 10.1016/j.jacc.2018.10.077
    [4]
    VAHANIAN A, BEYERSDORF F, PRAZ F, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease: developed by the Task Force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)[J]. Rev Esp Cardiol, 2022, 75(6): 524.
    [5]
    LINDEN B. 2020 guidelines for the diagnosis and management of atrial fibrillation[J]. Br J Cardiac Nurs, 2020, 15(12): 1-6.
    [6]
    CALKINS H, HINDRICKS G, CAPPATO R, et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation[J]. Europace, 2018, 20(1): e1-e160. doi: 10.1093/europace/eux274
    [7]
    KIM Y G, BOO K Y, CHOI J I, et al. Early recurrence is reliable predictor of late recurrence after radiofrequency catheter ablation of atrial fibrillation[J]. JACC Clin Electrophysiol, 2021, 7(3): 343-351. doi: 10.1016/j.jacep.2020.09.029
    [8]
    刘丽丽, 王维宁. 疼痛日记对腰椎间盘突出症患者恐动症和恐惧回避信念的影响[J]. 护理学杂志, 2015, 30(10): 25-28. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201510011.htm
    [9]
    REED J L, TERADA T, CHIRICO D, et al. The effects of cardiac rehabilitation in patients with atrial fibrillation: a systematic review[J]. Can J Cardiol, 2018, 34(10 Suppl 2): S284-S295.
    [10]
    STRIDSMAN M, STRÖMBERG A, HENDRIKS J, et al. Patients' experiences of living with atrial fibrillation: a mixed methods study[J]. Cardiol Res Pract, 2019, 2019: 6590358.
    [11]
    CHUNG M K, ECKHARDT L L, CHEN L Y, et al. Lifestyle and risk factor modification for reduction of atrial fibrillation: a scientific statement from the American heart association[J]. Circulation, 2020, 141(16): e750-e772.
    [12]
    HINDRICKS G, POTPARA T, DAGRES N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): the Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC[J]. Eur Heart J, 2021, 42(5): 373-498. doi: 10.1093/eurheartj/ehaa612
    [13]
    BÄCK M, JANSSON B, CIDER A, et al. Validation of a questionnaire to detect kinesiophobia (fear of movement) in patients with coronary artery disease[J]. J Rehabil Med, 2012, 44(4): 363-369. doi: 10.2340/16501977-0942
    [14]
    雷梦杰, 刘婷婷, 熊司琦, 等. 心脏病患者运动恐惧量表的汉化及信度效度检验[J]. 中国护理管理, 2019, 19(11): 1637-1642. doi: 10.3969/j.issn.1672-1756.2019.11.009
    [15]
    RESNICK B, JENKINS L S. Testing the reliability and validity of the Self-Efficacy for Exercise scale[J]. Nurs Res, 2000, 49(3): 154-159. doi: 10.1097/00006199-200005000-00007
    [16]
    LEE L L, PERNG S J, HO C C, et al. A preliminary reliability and validity study of the Chinese version of the self-efficacy for exercise scale for older adults[J]. Int J Nurs Stud, 2009, 46(2): 230-238. doi: 10.1016/j.ijnurstu.2008.09.003
    [17]
    DORIAN P, BURK C, MULLIN C M, et al. Interpreting changes in quality of life in atrial fibrillation: how much change is meaningful?[J]. Am Heart J, 2013, 166(2): 381-387, e8. doi: 10.1016/j.ahj.2013.04.015
    [18]
    葛红玥, 林梅, 许志英. 心房颤动患者症状群及其影响因素研究[J]. 中华护理杂志, 2020, 55(8): 1189-1196. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202008018.htm
    [19]
    VLAEYEN J W, KOLE-SNIJDERS A M, ROTTEVEEL A M, et al. The role of fear of movement/(re)injury in pain disability[J]. J Occup Rehabil, 1995, 5(4): 235-252. doi: 10.1007/BF02109988
    [20]
    TAKAHASHI Y, TAKAHASHI A, KUWAHARA T, et al. Clinical characteristics of patients with persistent atrial fibrillation successfully treated by left atrial ablation[J]. Circ Arrhythm Electrophysiol, 2010, 3(5): 465-471. doi: 10.1161/CIRCEP.110.949297
    [21]
    WALTERS T E, WICK K, TAN G, et al. Symptom severity and quality of life in patients with atrial fibrillation: psychological function outweighs clinical predictors[J]. Int J Cardiol, 2019, 279: 84-89. doi: 10.1016/j.ijcard.2018.10.101
    [22]
    SHI S Q, SHI J J, JIA Q L, et al. Efficacy of physical exercise on the quality of life, exercise ability, and cardiopulmonary fitness of patients with atrial fibrillation: a systematic review and meta-analysis[J]. Front Physiol, 2020, 11: 740. doi: 10.3389/fphys.2020.00740
    [23]
    PIERAGNOLI P, PAOLETTI PERINI A, RICCIARDI G, et al. Recurrences in the blanking period and 12-month success rate by continuous cardiac monitoring after cryoablation of paroxysmal and non-paroxysmal atrial fibrillation[J]. J Cardiovasc Electrophysiol, 2017, 28(6): 625-633. doi: 10.1111/jce.13190
    [24]
    IKEMURA N, KOHSAKA S, KIMURA T, et al. Assessment of sex differences in the initial symptom burden, applied treatment strategy, and quality of life in Japanese patients with atrial fibrillation[J]. JAMA Netw Open, 2019, 2(3): e191145. doi: 10.1001/jamanetworkopen.2019.1145
    [25]
    GLEASON K T, DENNISON HIMMELFARB C R, FORD D E, et al. Association of sex and atrial fibrillation therapies with patient-reported outcomes[J]. Heart, 2019, 105(21): 1642-1648.
    [26]
    唐涵, 刘维, 肖涵, 等. 中青年乳腺癌患者手术方式决策困境及影响因素研究[J]. 护理学杂志, 2020, 35(20): 14-17. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202020005.htm
    [27]
    王亚欣, 桑文凤, 贾冠华, 等. 首发急性心肌梗死患者运动恐惧现状及影响因素分析[J]. 中国护理管理, 2022, 22(1): 63-69. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202201013.htm
    [28]
    王颖, 范佳薇, 施小青, 等. 急性心肌梗死患者运动恐惧水平及其影响因素的纵向研究[J]. 护理学杂志, 2022, 37(14): 27-31. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202214008.htm
    [29]
    LARSON H, MCFADDEN K, MCHUGH T L, et al. You can't always get what You want: expectations, outcomes, and adherence of new exercisers[J]. Qual Res Sport, 2017, 9(3): 1-14.
    [30]
    STREUR M, RATCLIFFE S J, CALLANS D, et al. Atrial fibrillation symptom clusters and associated clinical characteristics and outcomes: a cross-sectional secondary data analysis[J]. Eur J Cardiovasc Nurs, 2018, 17(8): 707-716.
    [31]
    LINDGREN T G, FUKUOKA Y, RANKIN S H, et al. Cluster analysis of elderly cardiac patients' prehospital symptomatology[J]. Nurs Res, 2008, 57(1): 14-23.
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