Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation
BackgroundAtrial fibrillation (AF) is a common cardiac arrhythmia that increases the risk of stroke and other cardiovascular complications. Oral anticoagulants (OACs) are effective in reducing this risk. To investigate the knowledge, attitude and practice (KAP) toward OACs among patients with AF.Met...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1301442/full |
| _version_ | 1797390182473793536 |
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| author | Chang Li Yubo Meng Xiaoping Meng Yuming Song |
| author_facet | Chang Li Yubo Meng Xiaoping Meng Yuming Song |
| author_sort | Chang Li |
| collection | DOAJ |
| description | BackgroundAtrial fibrillation (AF) is a common cardiac arrhythmia that increases the risk of stroke and other cardiovascular complications. Oral anticoagulants (OACs) are effective in reducing this risk. To investigate the knowledge, attitude and practice (KAP) toward OACs among patients with AF.MethodsThis web-based cross-sectional study was conducted at local Hospital between April 2023 and May 2023, and enrolled AF patients.ResultsA total of 491 valid questionnaires were collected, with 293 (59.67%) male and 73.93% resided in urban areas. The KAP scores were 4.64 ± 3.28, 21.09 ± 2.33 and 26.18 ± 2.15, respectively. Multivariate logistic regression analysis showed that junior high school [odd ratio (OR) = 0.346, 95% confidence interval (CI) = 0.145–0.825, P = 0.017], junior college/bachelor and above (OR = 6.545, 95% CI = 2.863–14.963, P < 0.001), monthly income ≥5,000 (OR = 2.343, 95% CI = 1.074–5.111, P = 0.032), never taken OACs (OR = 0.015, 95% CI = 0.004–0.059, P < 0.001), and having been diagnosed AF (6–10 months, OR = 4.003, 95% CI = 1.653–9.692, P = 0.002;over 20 months, OR = 4.046, 95% CI = 1.753–9.340, P = 0.001) were independently associated with knowledge. Knowledge (OR = 1.376, 95% CI = 1.162–1.629, P < 0.001), junior high school (OR = 0.258, 95% CI = 0.084–0.792, P = 0.018), monthly income ≥5,000 (OR = 5.486, 95% CI = 1.834–16.412, P = 0.002), and never undergone AF ablation (OR = 0.214, 95% CI = 0.097–0.471, P < 0.001) were independently associated with attitude. Knowledge (OR = 1.128, 95% CI = 1.030–1.235, P = 0.009), 70–79 years (OR = 2.193, 95% CI = 1.166–4.124, P = 0.015) and ≥80 years (OR = 4.375, 95% CI = 2.034–9.411, P < 0.001) were independently associated with proactive practice.ConclusionPatients with AF had inadequate knowledge, suboptimal attitude and inactive practice towards AF and OACs. Improving patient education, especially among those with lower education levels, enhances understanding and management of AF and OACs. |
| first_indexed | 2024-03-08T23:07:01Z |
| format | Article |
| id | doaj.art-f7e6e51e6bb647e68ce651b0016e9c42 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-08T23:07:01Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-f7e6e51e6bb647e68ce651b0016e9c422023-12-15T11:16:54ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-12-011010.3389/fcvm.2023.13014421301442Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillationChang Li0Yubo Meng1Xiaoping Meng2Yuming Song3Department of VIP Unit, China-Japan Union Hospital of Jilin University, Changchun, ChinaDepartment of Research and Teaching, The Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, ChinaDepartment of Cardiac Rehabilitation, The Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, ChinaDepartment of VIP Unit, China-Japan Union Hospital of Jilin University, Changchun, ChinaBackgroundAtrial fibrillation (AF) is a common cardiac arrhythmia that increases the risk of stroke and other cardiovascular complications. Oral anticoagulants (OACs) are effective in reducing this risk. To investigate the knowledge, attitude and practice (KAP) toward OACs among patients with AF.MethodsThis web-based cross-sectional study was conducted at local Hospital between April 2023 and May 2023, and enrolled AF patients.ResultsA total of 491 valid questionnaires were collected, with 293 (59.67%) male and 73.93% resided in urban areas. The KAP scores were 4.64 ± 3.28, 21.09 ± 2.33 and 26.18 ± 2.15, respectively. Multivariate logistic regression analysis showed that junior high school [odd ratio (OR) = 0.346, 95% confidence interval (CI) = 0.145–0.825, P = 0.017], junior college/bachelor and above (OR = 6.545, 95% CI = 2.863–14.963, P < 0.001), monthly income ≥5,000 (OR = 2.343, 95% CI = 1.074–5.111, P = 0.032), never taken OACs (OR = 0.015, 95% CI = 0.004–0.059, P < 0.001), and having been diagnosed AF (6–10 months, OR = 4.003, 95% CI = 1.653–9.692, P = 0.002;over 20 months, OR = 4.046, 95% CI = 1.753–9.340, P = 0.001) were independently associated with knowledge. Knowledge (OR = 1.376, 95% CI = 1.162–1.629, P < 0.001), junior high school (OR = 0.258, 95% CI = 0.084–0.792, P = 0.018), monthly income ≥5,000 (OR = 5.486, 95% CI = 1.834–16.412, P = 0.002), and never undergone AF ablation (OR = 0.214, 95% CI = 0.097–0.471, P < 0.001) were independently associated with attitude. Knowledge (OR = 1.128, 95% CI = 1.030–1.235, P = 0.009), 70–79 years (OR = 2.193, 95% CI = 1.166–4.124, P = 0.015) and ≥80 years (OR = 4.375, 95% CI = 2.034–9.411, P < 0.001) were independently associated with proactive practice.ConclusionPatients with AF had inadequate knowledge, suboptimal attitude and inactive practice towards AF and OACs. Improving patient education, especially among those with lower education levels, enhances understanding and management of AF and OACs.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1301442/fullknowledgeattitudepracticeatrial fibrillationoral anticoagulantscross-sectional study |
| spellingShingle | Chang Li Yubo Meng Xiaoping Meng Yuming Song Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation Frontiers in Cardiovascular Medicine knowledge attitude practice atrial fibrillation oral anticoagulants cross-sectional study |
| title | Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation |
| title_full | Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation |
| title_fullStr | Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation |
| title_full_unstemmed | Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation |
| title_short | Knowledge, attitude and practice toward oral anticoagulants among patients with atrial fibrillation |
| title_sort | knowledge attitude and practice toward oral anticoagulants among patients with atrial fibrillation |
| topic | knowledge attitude practice atrial fibrillation oral anticoagulants cross-sectional study |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1301442/full |
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