educating patients about atrial fibrillation
DESCRIPTION
Educating Patients about Atrial Fibrillation. EBP Research Project Auburn University/Auburn Montgomery Location: Thomasville Internal Medicine Tonya Anderson, BSN, RN, Graduate Student, PCNP. Outline. PICO Question Purpose Significance Summary of Evidence Method Sample Findings - PowerPoint PPT PresentationTRANSCRIPT
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Educating Patients about Atrial Fibrillation
EBP Research ProjectAuburn University/Auburn Montgomery
Location: Thomasville Internal Medicine
Tonya Anderson, BSN, RN, Graduate Student, PCNP
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Outline
•PICO Question•Purpose•Significance•Summary of Evidence•Method•Sample•Findings•Summary
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PICO Question
In patients with atrial fibrillation, how does
individualized education rather than generalized
education affect the patient ability to adhere to
medication?
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Purpose
•Evaluate and increase medication adherence•Educate•Increase follow-up• Increase the self-management of AF• Decrease hospital stays
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Significance
• Atrial Fibrillation(AF) is the most common cardiac arrhythmia in the United States (Shea and Sears, 2011)
• AF has significant complications if not managed • Stroke• Dementia• Heart Failure• Death
• Anticoagulant has serious complications if not properly regulated.
• Patient knowledge and participation in AF management leads to fewer hospital stays and decrease healthcare costs.
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Summary of Evidence
• Databases: CINHAL, ERIC, HeathSource, Medline, PsycInfo, and PsycArticles.
• Six studies found• Review of research shows a lack of knowledge
in patients with Atrial Fibrillation, medication, and treatment.
• Research suggests that improved outcomes are guided by education and involvement in care.
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Method
• Thomasville Internal Medicine.• Consents for eight patients.• Morisky Medication Adherence Scale given prior
to education and by follow-up phone call.• Data collected- Age, gender, and race.• Education received: Atrial Fibrillation, risks of
uncontrolled HR, Coumadin, and rate control medications.
• All data was compiled and analyzed.
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Sample
• Eight participants• Diagnosis of atrial fibrillation• Take Coumadin and a rate control medication
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Findings: Questionnaire
-- The lower the number, the higher the compliance.-- Results may range from 0 to 11.
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Findings
• The Morisky Medication Adherence Scale (Morisky, Krousel-Wood, & Ward, 2008)
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Summary
• Findings suggest: • -Although the participants reported high medication
compliance at baseline, improvement was noted.• -The improvement was not statistically significant.• - A larger sample size is warranted with a longer
evaluation period is needed to evaluate the significance of education in atrial fibrillation patients.
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References
Kring, D.L. (2008). Clinical nurse specialist practice domains and evidence-based practice competencies. Clinical Nurse Specialist, 22(4), 179-183.
Morsiky, A., Krousel-Wood, M. Ward, H. (2008). Predictive validity of a medication adherence measure for hypertension control. Journal of Clinical Hypertension 10(5), 348-354.
Shea, J., & Sears, S. (2008). A patient’s guide to living with atrial fibrillation. Circulation 11, e340-e343. doi: 10.1161/CIRCULATIONAHA.108.780577
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Questions???