Table 2: Specific topics addressed in the JAKQ with percentage of correct responses among AF patients in surgery and control group.
|
Surgery group (n=144) |
Control Group (n=200) |
p value |
Valve surgery (n=88) |
Other surgery (n=55) |
p value |
8 questions about AF in general |
|
|
|
|
|
|
AF is a condition where the heart beats irregularly and often faster than normal |
96 (66.7) |
155 (77.5) |
0.02 |
62 (70.5) |
34 (61.8) |
0.3 |
AF is not always accompanied by symptoms |
26 (18.1) |
56 (28.0) |
0.03 |
14 (15.91) |
12 (21.8) |
0.3 |
Patients can detect AF by taking their pulse regularly |
53 (36.8) |
100 (50.0) |
0.01 |
34 (38.6) |
19 (34.6) |
0.7 |
AF can cause blood clots which can lead to stroke (cerebral infarction) |
78 (54.2) |
136 (68.3) |
0.009 |
45 (51.1) |
32 (58.2) |
0.4 |
Medication cannot prevent AF permanently, as the arrhythmia will increasingly occur with ageing, even when taking medication |
51 (35.7) |
63 (31.7) |
0.4 |
36 (40.9) |
15 (27.8) |
0.1 |
An AF patient should not go to the general practitioner or emergency room each time he/she feels AF |
25 (17.4) |
62 (31.2) |
0.003 |
13 (14.8) |
12 (21.8) |
0.3 |
Being overweight exacerbates AF |
71 (49.3) |
113 (57.1) |
0.1 |
43 (48.9) |
28 (50.9) |
0.8 |
Blood thinners are often prescribed for patients with AF in order to prevent the development of blood clots in the heart, which can lead to stroke |
87 (60.4) |
157 (78.9) |
0.0003 |
55 (62.5) |
32 (58.2) |
0.7 |
5 questions about OAC therapy |
|
|
|
|
|
|
Patients with AF should always take their blood thinners, even if they do not feel AF |
108 (75.0) |
167 (84.8) |
0.02 |
69 (78.4) |
38 (69.1) |
0.2 |
Possible side effects of blood thinners are the occurrence of bleedings and longer bleeding times in case of injuries |
64 (44.8) |
132 (67.0) |
0.0001 |
47 (53.4) |
16 (29.6) |
0.008 |
AF patients may only take painkillers based on paracetamol |
39 (27.5) |
84 (43.8) |
0.002 |
29 (33.3) |
10 (18.5) |
0.08 |
When AF patients regularly have minor nose bleeds (that spontaneously cease), they should contact the general practitioner or specialist, while continuing to take their blood thinner |
96 (67.1) |
139 (70.6) |
0.5 |
59 (67.8) |
36 (65.5) |
0.8 |
If an AF patient needs an operation, he/she should consult a doctor to discuss possible options |
76 (52.8) |
145 (73.6) |
0.0001 |
48 (54.6) |
27 (49.1) |
0.6 |
3 questions about VKA |
n=64 |
n=109 |
|
n=47 |
n=17 |
|
AF patients taking VKA should have their blood thinning checked at least once a month |
55 (85.9) |
96 (88.1) |
0.8 |
43 (91.5) |
12 (70.6) |
0.04 |
When AF patients taking VKA have forgotten to take their blood thinner, they should still take their forgotten pill (immediately or at the next dose) |
9 (14.1) |
29 (27.1) |
0.05 |
6 (12.8) |
3 (17.7) |
0.6 |
INR is a measure to check how thick or how thin the blood is |
40 (62.5) |
93 (86.9) |
0.0003 |
33 (70.2) |
7 (41.2) |
0.04 |
3 questions about NOAC |
n=96 |
n=101 |
|
n=49 |
n=46 |
|
For patients taking NOAC, it is important to take their blood thinner at the same time every day |
85 (88.5) |
93 (92.1) |
0.4 |
44 (89.8) |
40 (87.0) |
0.7 |
When AF patients taking NOAC have forgotten to take their blood thinner, they can still take that dose, unless the time till the next dose is less than the time after the missed dose |
26 (27.1) |
33 (32.4) |
0.4 |
16 (32.7) |
10 (21.7) |
0.2 |
The NOAC card should be shown to their general practitioner and specialist by AF patients |
22 (25.0) |
26 (36.1) |
0.1 |
10 (22.2) |
11 (26.2) |
0.8 |
INR: international normalized ratio, NOACs: non-vitamin K antagonist oral anticoagulants, VKA: vitamin K antagonist, other abbreviations- see (Table 1).