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Pogosova N.V.

National Medical Research Center of Cardiology

Badtieva V.A.

Moscow centre for research and practice in medical, rehabilitation, restorative and sports medicine

Ovchinnikova A.I.

Blokhin Russian Cancer Research Center

Sokolova O.Yu.

National Medical Research Center of Cardiology

Illness perception, psychological status, quality of life and treatment adherence in patients with paroxysmal atrial fibrillation after radiofrequency ablation

Authors:

Pogosova N.V., Badtieva V.A., Ovchinnikova A.I., Sokolova O.Yu.

More about the authors

Journal: Russian Cardiology Bulletin. 2021;16(3): 33‑44

DOI: 10.17116/Cardiobulletin20211603133

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Table of contents

ILLNESS PERCEPTION, PSYCHOLOGICAL STATUS, QUALITY OF LIFE AND TREATMENT ADHERENCE IN PATIENTS WITH PAROXYSMAL ATRIAL FIBRILLATION AFTER RADIOFREQUENCY ABLATION
ILLNESS PERCEPTION, PSYCHOLOGICAL STATUS, QUALITY OF LIFE AND TREATMENT ADHERENCE IN PATIENTS WITH PAROXYSMAL ATRIAL FIBRILLATION AFTER RADIOFREQUENCY ABLATION

To cite this article:

Pogosova NV, Badtieva VA, Ovchinnikova AI, Sokolova OYu. Illness perception, psychological status, quality of life and treatment adherence in patients with paroxysmal atrial fibrillation after radiofrequency ablation. Russian Cardiology Bulletin. 2021;16(3):33‑44. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20211603133

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To assess illness perception, psychological status, quality of life (QOL) and treatment adherence in patients with paroxysmal atrial fibrillation (AF) after radiofrequency ablation (RFA).

MATERIAL AND METHODS

A cross-sectional study included patients with paroxysmal AF hospitalized for RFA. Illness perception was assessed using The Brief Illness Perception Questionnaire (BIPQ) was applied. We assessed stress, anxiety and depression using Visual Analogue Scale (VAS), Hospital Anxiety and Depression Scale (HADS), State-Trait Anxiety Inventory (STAI) and Patient Health Questionnaire (PHQ-9). QOL was evaluated using the SF-36 questionnaire, treatment adherence — the 4-item Morisky Green scale.

RESULTS

There were 135 patients aged 35—79 years (mean 57.3±9.2 years). According to HADS, 46% of patients had anxiety, 22% — depressive symptoms. According to PHQ-9, 56.7% of patients had various depressive symptoms. According to STAI, reactive anxiety was noted in 31.6% of patients. In addition, high personal anxiety was also observed. Increased stress was found in 64% of patients. Patients poorly assessed their QOL (median score of physical and mental health was 41.6 and 46.4 scores, respectively). Structure of illness perception showed that AF patients are quite concerned about their disease (mean score 8.1), experience many symptoms (mean score 7.3) and have low personal control (mean score 6.1) and treatment control (mean score 6.6). Only every third (34.1%) patient was adherent to treatment. Other ones reported poor adherence.

CONCLUSION

Patients with AF have significant stress, anxiety and depressive symptoms, poor QOL, negative and threatening illness perception and low treatment adherence after RFA.

Keywords:

atrial fibrillation
radiofrequency ablation
anxiety
depressive symptoms
stress
quality of life

Authors:

Pogosova N.V.

National Medical Research Center of Cardiology

Badtieva V.A.

Moscow centre for research and practice in medical, rehabilitation, restorative and sports medicine

Ovchinnikova A.I.

Blokhin Russian Cancer Research Center

Sokolova O.Yu.

National Medical Research Center of Cardiology

Received:

08.06.2021

Accepted:

23.06.2021

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