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심방세동 환자의 질병관련 지식 정도

The level of Knowledge Related to Disease in Patients with Atrial fibrillation

송주현|신승용|김경희
한국융합학회 (Korea Convergence Society)|2021.06|한국융합학회논문지 (Journal of the Korea Convergence Society)|제12권 제6호|pp. 249-258|DOI https://doi.org/10.15207/JKCS.2021.12.6.249

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키워드

지식knowledge심방세동비타민 K 비의존성 항응고제비타민 K 길항제atrial fibrillationnon-vitamin K antagonist oral anticoagulantsvitamin K antagonists.
주제분류학제간연구

초록

본 연구는 심방세동 환자를 대상으로 심방세동 질병관련 지식 정도를 파악하고자 시도되었다. 지식측정을 위해 JAKQ와 KAFSP 측정 도구를 사용하였으며, 222명의 대상자가 설문지에 응답하였다. JAKQ와 KAFSP의 평균 점수는 각 54.7점, 18.5점이었으며. 심방세동 환자들은 대체로 심방세동이 뇌졸중을 유발하며, 혈전 예방을 위해 항응고제를 복용해야 하는 점에 대해 잘 알고 있었으나, 항응고제 복용 시 주의사항과 심방세동의 증상 및 치료법에 대한 지식은 부족하였다. 항응고요법에 따른 심방세동 질병관련 지식 점수는 통계적으로 유의한 차이는 없으며, VKA 관련 지식의 정도가 낮았다. 또한, JAKQ와 KAFSP 모두 교육수준에 따른 심방세동 질병관련 지식 점수는 통계적으로 유의한 차이가 있었다. 이러한 결과를 바탕으로 심방세동 환자의 지식 향상을 위해 맞춤형 교육프로그램 개발이 필요함을 알 수 있다.

Abstract

The aim of this study was to determine the level of knowledge related to disease in patients with atrial fibrillation. We used the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ) and Knowledge of Atrial Fibrillation and Stroke Prevention Questionnaire(KAFSP). A total of 222 AF patients completed the JAKQ and KAFSP. The mean score of the JAKQ and KAFSP 54.7 and 18.5 points, respectively. In general, patients with Atrial fibrillation were well aware that atrial fibrillation causes stroke and that anticoagulants should be taken to prevent blood clots. However, they were not well aware of the precautions for taking anticoagulants, symptoms of atrial fibrillation, and treatment of atrial fibrillation. There was no statistically significant difference in atrial fibrillation knowledge score according to anticoagulants but the degree of knowledge related to VKA was low in patients taking VKA. The both score of JAKQ and KAFSP had significant differences in atrial fibrillation knowledge depending on the level of education. Based on these finding, it is necessary to develop a customized education program in order to improve the knowledge of patients with atrial fibrillation.

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