Key result
AF-specific anxiety and symptom burden emerge as the primary drivers of poor quality of life.
Why the study?
AF is associated with poor HRQoL, but the factors influencing HRQoL in these patients are not well understood.
What factors are most associated with health-related quality of life in patients with atrial fibrillation?
Systematic Review
What factors are most associated with health-related quality of life in patients with atrial fibrillation?
Answers are grounded in this paper and cite their sources.
Anxiety and symptom severity are primary drivers of reduced quality of life in patients with atrial fibrillation, suggesting that proactive symptom control and patient education are essential.
Atrial fibrillation (AF) is a common cardiac arrhythmia associated with poor health-related quality of life (HRQoL). However, the factors influencing HRQoL in patients with AF are not well understood. The purpose of integrative review was to investigate the factors affecting HRQoL in patients with AF based on the six domains of Ferrans and colleagues' HRQoL model. A total of 23 relevant articles published between January 2000 and March 2018 were identified using four databases and analyzed in this study. Our review showed that the HRQoL in patients with AF was consistently lower than both healthy individuals and patients with other cardiovascular diseases. The most common factor associated with HRQoL in patients with AF was anxiety-specific to AF in the symptoms domain, followed by frequency and severity of symptoms and the New York Heart Association functional class. This study highlights that monitoring and assessing patients' symptoms is vital for improving HRQoL in patients with AF. Disease-specific and cross-culturally validated tools can allow healthcare professionals to provide tailored interventions for patients with AF.
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Son et al. (2019) conducted a systematic review in Atrial Fibrillation. Factors influencing health-related quality of life was evaluated on Factors associated with health-related quality of life (HRQoL). Anxiety specific to atrial fibrillation, along with the frequency and severity of symptoms, were the most common factors associated with a poor health-related quality of life in patients with atrial fibrillation.
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