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Description of self-care behaviours in patients with non-valvular atrial fibrillation on oral anticoagulant therapy: A scoping review
European Journal of Cardiovascular Nursing ( IF 2.9 ) Pub Date : 2024-01-24 , DOI: 10.1093/eurjcn/zvae007
Arianna Magon 1 , Jeroen M Hendriks 2, 3 , Gianluca Conte 1 , Rosario Caruso 1, 4
Affiliation  

Aim The primary aim of this scoping review was to explore and categorise the medication-related self-care behaviours exhibited by patients with non-valvular atrial fibrillation (NVAF) who are on oral anticoagulant (OAC) therapy. Methods and Results A scoping review was performed, and the systematic search of the literature yielded an initial 887 records. After deduplication and screening, 61 studies were included in the analysis, ranging from 2003 to 2023. The studies represented a wide geographical distribution and diverse methodologies. The results identified 16 self-care behaviours: a higher focus of the included literature on self-care monitoring (60.65% of studies), followed by self-care management and self-care maintenance (each 16.39%). These behaviours ranged from regular blood testing to consulting healthcare providers and lifestyle changes. The results also highlighted the relationship between treatment satisfaction, self-efficacy, and adherence. Several studies emphasised the critical role of healthcare providers in influencing medication adherence. Furthermore, patient knowledge, quality of life, and psychological factors were identified as key elements affecting self-care behaviours. Conclusion The review provides a comprehensive landscape of medication-related self-care behaviors among NVAF patients on OAC therapy. It underscores the predominance of self-care monitoring behaviours and the critical roles of healthcare providers, psychological factors, and patient knowledge in influencing these behaviours. The findings also highlight the necessity for an integrated, patient-centred approach to improving self-care and self-management in OAC treatment. Future research should focus on addressing the identified gaps, including the relative lack of studies on lifestyle modification, emotional well-being, and technology-assisted interventions. Registration This review is part of a broader project and is documented at ClinicalTrials.gov (NCT05820854).

中文翻译:

接受口服抗凝治疗的非瓣膜性心房颤动患者自我护理行为的描述:范围界定综述

目的 本次范围审查的主要目的是探索和分类接受口服抗凝剂 (OAC) 治疗的非瓣膜性心房颤动 (NVAF) 患者表现出的与药物相关的自我护理行为。方法和结果进行了范围审查,并对文献进行了系统检索,初步获得了 887 条记录。经过重复数据删除和筛选后,分析纳入了 2003 年至 2023 年的 61 项研究。这些研究代表了广泛的地理分布和多样化的方法。结果确定了 16 种自我护理行为:纳入的文献更关注自我护理监测(占研究的 60.65%),其次是自我护理管理和自我护理维持(各 16.39%)。这些行为包括定期验血、咨询医疗保健提供者和改变生活方式。结果还强调了治疗满意度、自我效能和依从性之间的关系。多项研究强调了医疗保健提供者在影响药物依从性方面的关键作用。此外,患者知识、生活质量和心理因素被确定为影响自我护理行为的关键因素。结论 该综述提供了接受 OAC 治疗的 NVAF 患者与药物相关的自我护理行为的全面概况。它强调了自我护理监测行为的主导地位以及医疗保健提供者、心理因素和患者知识在影响这些行为方面的关键作用。研究结果还强调了在 OAC 治疗中采用以患者为中心的综合方法来改善自我护理和自我管理的必要性。未来的研究应侧重于解决已发现的差距,包括相对缺乏关于生活方式改变、情绪健康和技术辅助干预措施的研究。注册 该审查是更广泛项目的一部分,记录在 ClinicalTrials.gov (NCT05820854) 上。
更新日期:2024-01-24
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