Title UTJECAJ ABLACIJE FIBRILACIJE ATRIJA NA KVALITETU ŽIVOTA BOLESNIKA Title (english) EFFECT OF CATHETER ABLATION ON QUALITY OF LIFE IN PATIENTS WITH ATRIAL FIBRILLATION Author Mirjana Barišić Mentor Sandro Brusich (mentor)Committee member Zlatko Čubranić (predsjednik povjerenstva)Committee member Teodora Zaninović-Jurjević (član povjerenstva)Committee member Sandro Brusich (član povjerenstva)Granter University of Rijeka Defense date and country 2021-07-15, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Uvod: Fibrilacija atrija je nakon ekstrasistolije najčešća aritmija koja značajno utječe na kvalitetu života i mortalitet. Najčešći uzroci FA su dob, hipertenzija, koronarna bolest, zatajivanje srca, pretilost, bolest mitralnog zaliska, šećerna bolest, hipertireoza. Simptomi koje pacijenti navode su palpitacije, otežano disanje, glavobolja, umor, bol u prsima. U održavanju sinusnog ritma, ablacija FA je učinkovitija metoda od terapije antiaritmijskim lijekovima. Kvaliteta života je subjektivni osjećaj i doživljaj svakog pojedinca, a ona podrazumijeva unutarnji mir, radost i zadovoljstvo životom, život bez posebne opterećenosti, straha i neizvjesnosti. Upitnici namijenjeni za procjenu kvalitete života pacijenata sa FA su AF-Qol i AFEQT upitnici.
Metode: Retrospektivno kliničko istraživanje provedeno je kod pacijenata s fibrilacijom atrija koji su bili podvrgnuti ablacijskom liječenju u Zavodu za aritmije KBC-a Rijeka u periodu od 01.01.2019. do 31.12.2019. godine. Za ispitivanje kvalitete života koristio se AFEQT upitnik.
Cilj istraživanja: bio je analizirati vrijednosti AFEQT upitnika prije i nakon učinjene ablacije fibrilacije atrija. Dodatni ciljevi istraživanja su bili usporediti vrijednosti AFEQT upitnika prije i nakon učinjene ablacije u zavisnosti o spolu, dobi, prisutnosti arterijske hipertenzije, učinjenoj vrsti ablacije i tjelesnoj masi
Rezultati: Ukupan rezultat AFEQT upitnika je statistički značajno bolji nakon ablacije. Ispitanici mlađi od 65 godina su postigli statistički značajno bolji ukupan rezultat na AFEQT upitniku. Ispitanici muškog spola iskazuju više razine kvalitete života po ukupnom rezultatu AFEQT upitnika. Ispitanici s višom tjelesnom masom postižu statistički značajno niže rezultate u ukupnom rezultatu AFEQT upitnika nakon učinjene ablacije
Zaključak: Liječenje fibrilacije atrija uvođenjem novih metoda liječenja u velikoj mjeri pomaže ublažiti simptome i poboljšati kvalitetu života. Uspoređujući rezultate ovog istraživanja sa literarnim navodima možemo zaključiti da je ablacija atrija opravdana metoda liječenja fibrilacije atrija koja u znatnoj mjeri podiže kvalitetu života oboljelih.
Abstract (english) Introduction: Atrial fibrillation is the most common arrhythmia after extrasystole that significantly affects quality of life and mortality. The most common causes of FA are age, hypertension, coronary heart disease, heart failure, obesity, mitral valve disease, diabetes, hyperthyroidism. Symptoms reported by patients are palpitations, shortness of breath, headache, fatigue, chest pain. In maintaining sinus rhythm, FA ablation is a more effective method than antiarrhythmic drug therapy. Quality of life is the subjective feeling and experience of each individual, and it implies inner peace, joy and satisfaction with life, life without special burden, fear and uncertainty. Questionnaires intended to assess the quality of life of patients with FA are AF-Qol and AFEQT questionnaires.
Methods: A retrospective clinical study was conducted in patients with atrial fibrillation who underwent ablation treatment at the Department of Arrhythmias of the University Hospital Center Rijeka in the period from 01.01.2019. to 31.12.2019. years. The AFEQT questionnaire was used to examine quality of life.
The aim of the study: was to analyze the values of the AFEQT questionnaire before and after atrial fibrillation ablation. Additional study objectives were to compare the values of the AFEQT questionnaire before and after ablation depending on gender, age, presence of arterial hypertension, type of ablation performed and body weight
Results: The overall score of the AFEQT questionnaire was statistically significantly better after ablation. Respondents under the age of 65 achieved a statistically significantly better overall score on the AFEQT questionnaire. Male respondents report higher levels of quality of life by the overall score of the AFEQT questionnaire. Subjects with higher body weight achieved statistically significantly lower results in the overall result of the AFEQT questionnaire after ablation
Conclusion: Treating atrial fibrillation by introducing new treatment methods greatly helps alleviate symptoms and improve quality of life. Comparing the results of this study with the literature, we can conclude that atrial ablation is a justified method of treating atrial fibrillation that significantly raises the quality of life of patients.
Keywords
fibrilacija atrija
kvaliteta života
AFEQT upitnik
Keywords (english)
atrial fibrillation
quality of life
AFEQT questionnaire
Language croatian URN:NBN urn:nbn:hr:184:790034 Study programme Title: Graduate university study of Nursing: Healthcare Management (Biomedicine and Healthcare; clinical medical sciences) Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2021-09-30 10:15:20
