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Disease-Related Knowledge and Need for Revision of Care for Patients with Atrial Fibrillation : A Cross Sectional Study

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dc.contributor.author Erlingsdottir, Helga Ýr
dc.contributor.author Ketilsdóttir, Auður
dc.contributor.author Hendriks, Jeroen M.
dc.contributor.author Ingadóttir, Brynja
dc.date.accessioned 2023-11-11T01:05:43Z
dc.date.available 2023-11-11T01:05:43Z
dc.date.issued 2023
dc.identifier.citation Erlingsdottir , H Ý , Ketilsdóttir , A , Hendriks , J M & Ingadóttir , B 2023 , ' Disease-Related Knowledge and Need for Revision of Care for Patients with Atrial Fibrillation : A Cross Sectional Study ' , Patient Preference and Adherence , vol. 17 , pp. 2621-2630 . https://doi.org/10.2147/PPA.S428444
dc.identifier.issn 1177-889X
dc.identifier.other 211405047
dc.identifier.other 2972f61b-4604-4865-8aab-5039bc62e326
dc.identifier.other 85175184345
dc.identifier.uri https://hdl.handle.net/20.500.11815/4544
dc.description Publisher Copyright: © 2023 Erlingsdottir et al.
dc.description.abstract Purpose: To evaluate the disease-related knowledge of outpatients with atrial fibrillation (AF), and the relationship with health literacy and other background variables. Patients and Methods: In this cross-sectional survey study, conducted in Iceland, patients with AF scheduled for an electrical cardioversion or AF catheter ablation were recruited from a hospital outpatient clinic. They completed the validated Atrial Fibrillation Knowledge Scale (AFKS), a 11-item instrument (with possible score 0–10, 10 being the best knowledge) which evaluates knowledge pertaining to AF in general, AF symptom detection and AF treatment. Health literacy was assessed with the 16 item European Health Literacy Survey Questionnaire (HLS-EU-Q) and patients answered questions about their background. Data was analysed with parametric tests. Results: In total, 185 participants completed the questionnaire (mean age 63 ±10), 77% were male, 74% with previous electrical cardioversion and 76% were on non-vitamin K antagonist oral anticoagulants (NOAC) medication. The mean score on the AFKS was 6.5 (±1.8). The best knowledge was concerning oral anticoagulation therapy (96% answered correctly) and the least knowledge was regarding responses to AF episodes (17% answered correctly). Patients with sufficient health literacy (52%) had better knowledge of AF (M 6.8 ±1.7 vs M 6.3 ±1.9, p = 0.05). Age, educational level, health literacy and AF pattern explained 22% of the variance in AF knowledge. Conclusion: Patients with AF have inadequate knowledge of their condition, potentially as a result of insufficient health literacy. AF knowledge may be improved using integrated management where patients are actively involved in the care and health literacy is considered in the provided patient education.
dc.format.extent 10
dc.format.extent 601863
dc.format.extent 2621-2630
dc.language.iso en
dc.relation.ispartofseries Patient Preference and Adherence; 17()
dc.rights info:eu-repo/semantics/openAccess
dc.subject Hjúkrun aðgerðasjúklinga
dc.subject Hjúkrun langveikra fullorðinna
dc.subject atrial fibrillation
dc.subject health literacy
dc.subject patient education
dc.subject patient knowledge
dc.subject self-care
dc.subject Medicine (miscellaneous)
dc.subject Social Sciences (miscellaneous)
dc.subject Pharmacology, Toxicology and Pharmaceutics (miscellaneous)
dc.subject Health Policy
dc.title Disease-Related Knowledge and Need for Revision of Care for Patients with Atrial Fibrillation : A Cross Sectional Study
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.doi 10.2147/PPA.S428444
dc.relation.url http://www.scopus.com/inward/record.url?scp=85175184345&partnerID=8YFLogxK
dc.contributor.department Other departments
dc.contributor.department Faculty of Nursing and Midwifery

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