Abstract:

Objective　To study the effect of multimodal digital health education on life control in patients with atrial fibrillation during the "gap period" after radiofrequency ablation. Methods　Eighty patients who underwent atrial fibrillation surgery and were admitted to Luoyang Central Hospital from January 2022 to October 2023 were selected as the research subjects. Using the random number table method, the patients were divided into the conventional group (40 cases) and the research group (40 cases). There were 20 males and 20 females in the conventional group, aged 32-68 (48.45±6.83) years, course of the disease 3-13 (7.95±2.43) months. There were 22 males and 18 females in the research group, aged 33-69 (49.33±7.30) years, course of the disease 3-14 (8.23±2.57) months. The conventional group received conventional health education intervention, while the research group received multimodal digital health education intervention. Both groups were subjected to continuous intervention for 12 weeks. Compare the levels of motion fear [tampa scale for kinesiophobia heart (TSK-SV Heart)], sleep quality [pittsburgh sleep quality index (PSQI)], self-management ability [adult health self-management scale (AHSMSRS)], and life control sense [personal mastery scale (PMS)] between the two groups. Independent sample t test, and paired t test were used for statistical analysis. Results　After the intervention, the scores of each dimension (danger perception, fear of exercise, avoidance of exercise, functional disorder) in the TSK-SV Heart of the research group were all lower than those of the conventional group [(6.45±1.57) points vs. (7.31±1.88) points, (7.12±1.38) points vs. (8.94±1.95) points, (6.55±1.27) points vs. (8.12±1.48) points, (6.05±1.22) points vs. (7.84±1.35) points] (all P<0.05); the scores of each dimension (sleep disorders, daytime function, sleep efficiency, hypnotic drugs, sleep onset time, sleep duration, sleep quality) in the research group were all lower than those in the conventional group (all P<0.05); the scores of each dimension (self-management environment, health self-management cognition, health self-management behavior) in the AHSMSRS of the research group were all higher than those of the conventional group [(35.71±4.83) points vs. (32.75±5.22) points, (46.62±4.90) points vs. (43.52±4.51) points, (45.71±4.53) points vs. (42.75±4.42) points] (all P<0.05); the PMS score of the research group was higher than that of the control group [(28.31±3.53) points vs. (24.75±3.22) points] (P<0.05). Conclusion　Multimodal digital health education can effectively enhance the self-management ability of patients with atrial fibrillation during the "gap period" after radiofrequency ablation, improve sleep quality, alleviate exercise fear, and enhance the sense of life control.

Key words: Radio frequency ablation, Gap period,  Atrial fibrillation, Multimodal,  Digitalization, Health education, Feeling in control of life

摘要：

目的　研究多模态数字化健康宣教对射频消融术后“空白期”心房颤动患者生活掌控感的影响。方法　选取2022年1月至2023年10月洛阳市中心医院收治的80例心房颤动术后患者作为研究对象。采用随机数字表法，将患者分为常规组（40例）和研究组（40例）。常规组男20例，女20例；年龄32～68（48.45±6.83）岁；病程3～13（7.95±2.43）个月。研究组男22例，女18例；年龄33～69（49.33±7.30）岁；病程3～14（8.23±2.57）个月。常规组采用常规健康教育干预，研究组采用多模态数字化健康宣教干预。两组均持续干预12周。比较两组运动恐惧感［心脏病患者运动恐惧量表（TSK-SV Heart）］、睡眠质量［匹兹堡睡眠质量评分（PSQI）］、自我管理能力［成年人健康自我管理能力评测量表（AHSMSRS）］、生活掌控感［个人生活掌控感量表（PMS）］。采用独立样本t检验和配对t检验进行统计学分析。结果　干预后，研究组TSK-SV Heart中各维度（危险感知、运动恐惧、运动回避、功能紊乱）评分均低于常规组［（6.45±1.57）分比（7.31±1.88）分、（7.12±1.38）分比（8.94±1.95）分、（6.55±1.27）分比（8.12±1.48）分、（6.05±1.22）分比（7.84±1.35）分］（均P<0.05）；研究组PSQI中各维度（睡眠障碍、日间功能、睡眠效率、催眠药物、入睡时间、睡眠时间、睡眠质量）评分均低于常规组（均P<0.05）；研究组AHSMSRS中各维度（自我管理环境、健康自我管理认知、健康自我管理行为）评分均高于常规组［（35.71±4.83）分比（32.75±5.22）分、（46.62±4.90）分比（43.52±4.51）分、（45.71±4.53）分比（42.75±4.42）分］（均P<0.05）；研究组PMS评分高于常规组［（28.31±3.53）分比（24.75±3.22）分］（P<0.05）。结论　多模态数字化健康宣教可有效提高射频消融术后“空白期”心房颤动患者自我管理能力，改善睡眠质量，减轻运动恐惧感，增强生活掌控感。

关键词:

射频消融术, 空白期, 心房颤动, 多模态, 数字化, 健康宣教, 生活掌控感