Transcript Title of Project

Educating Patients about Atrial
Fibrillation
EBP Research Project
Auburn University/Auburn Montgomery
Location: Thomasville Internal Medicine
Tonya Anderson, BSN, RN, Graduate
Student, PCNP
Outline
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PICO Question
Purpose
Significance
Summary of Evidence
Method
Sample
Findings
Summary
PICO Question
In patients with atrial fibrillation,
how does individualized education
rather than generalized education
affect the patient ability to adhere to
medication?
Purpose
• Evaluate and increase medication
adherence
• Educate
• Increase follow-up
• Increase the self-management of AF
• Decrease hospital stays
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.
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.
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.
Sample
• Eight participants
• Diagnosis of atrial fibrillation
• Take Coumadin and a rate control medication
Findings: Questionnaire
-- The lower the number, the higher the
compliance.
-- Results may range from 0 to 11.
Findings
• The Morisky Medication Adherence Scale
(Morisky, Krousel-Wood, & Ward, 2008)
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.
References
Kring, D.L. (2008). Clinical nurse specialist practice
domains and evidence-based practice
competencies. Clinical Nurse Specialist, 22(4), 179183.
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
Questions???