PMID: 29077347Jan 1, 2015Paper

Nurse-led educational intervention in patients with atrial fibrillation discharged from the emergency department reduces complications and shortterm admissions

Emergencias : Revista De La Sociedad Española De Medicina De Emergencias
Carolina Isabel Fuenzalida InostrozaBlanca Coll-Vinent

Abstract

To assess whether a nurse-led patient educational intervention for patients with atrial fibrillation (AF) discharged from the emergency department (ED) can improve the patients' understanding of arrhythmia and its treatment and reduce the number of complications and arrhythmia-related admissions. Prospective study of an intervention. Patients diagnosed with AF discharged from the ED were studied in 2 groups. Intervention-group patients received instruction about AF, its treatment, precautions to take, warning signs, and pulse-taking. They also received an information leaflet. The control group patients were discharged without specific instruction. At 30 and 90 days, the patients' records were reviewed and follow-up telephone interviews were undertaken in order to assess their understanding of arrhythmia, the presence of complications, and whether they had returned for emergency care or had been hospitalized. We enrolled 240 patients (116 in the intervention group and 124 in the control group); the mean (SD) age was 76 (11) years and 138 (58%) were women. The intervention group patients remembered more warning signs of AF than did patients in the control group (P=.012) and they also understood their treatment better (P=.004). Fe...Continue Reading

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