老年综合评估辅助房颤ABC结构化管理对老年房颤病人生活质量评分的影响

doi:10.3969/j.issn.1003-9198.2025.11.015

Abstract

Abstract: Objective To explore the effects of comprehensive geriatric assessment and intervention combined with the atrial fibrillation(AF) ABC structured pathway on the quality of life of the elderly patients with AF, and to provide a reference for the comprehensive management of the elderly AF patients. Methods From August 2023 to December 2024, a total of 100 elderly patients diagnosed with non-valvular AF were enrolled from the Geriatric Hospital of Nanjing Medical University and two community health service centers within its medical consortium. A randomized controlled trial using a two-group informed consent Zelen’s design was conducted. The patients were divided into the conventional group (n=50)and the study group (n=50). The conventional group received standard AF ABC comprehensive management, while the study group received comprehensive geriatric assessment and AF ABC comprehensive management. The AF-specific Quality of Life (AFEQT) score, standardized anticoagulation rate, blood pressure and heart rate control rate, atrial fibrillation symptom severity grade, CHA2DS2-VASc-60 score, and HAS-BLED score were compared between the two groups before and after management. Results Before the intervention, no statistically significant differences were observed between the two groups in the total AFEQT score, symptom domain, daily activities domain, and treatment concerns domain (P>0.05). After the intervention, the study group showed significant reductions in the total AFEQT score, symptom domain, and treatment concerns domain compared to the baseline values (P<0.05). Moreover, the study group showed significantly lower scores of total AFEQT, symptom domain, and daily activities domain than those of the conventional group, with statistically significant differences (P<0.05). In addition, systolic blood pressure and the proportion of symptomatic patients in the study group were significantly decreased after the intervention (P<0.05). Conclusions The application of comprehensive geriatric assessment and intervention as an adjunct to the ABC structured management in elderly AF patients can alleviate AF symptoms and improve their quality of life.

Key words: non-valvular atrial fibrillation, comprehensive geriatric assessment, atrial fibrillation ABC pathway, quality of life

CLC Number:

R 541.75

ZHANG Huimei, DOU Yu, GUO Hongmei, WANG Feng, XIONG Yaqing. Effects of comprehensive geriatric assessment-assisted atrial fibrillation ABC structured management on the quality of life in elderly patients with atrial fibrillation[J]. Practical Geriatrics, 2025, 39(11): 1145-1149.

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Effects of comprehensive geriatric assessment-assisted atrial fibrillation ABC structured management on the quality of life in elderly patients with atrial fibrillation

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