Sjuksköterskans roll i vård- och behandling av patienter med förmaksflimmer. En systematisk litteraturstudie

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Sammanfattning: Background: Atrial fibrillation (AF) is the most common heart rhythm disorder in adults and a growing problem of an epidemic nature. AF is a complex and complicated disease with severe consequences as a result, and for this reason health care requires to offer support and treatment options that corresponds to this complexity. Healthcare has made great strides in the treatment of AF. The four pillars; risk factor management, anticoagulation treatment, frequency control and rhythm control with a foundation consisting of education and commitment, are all equally important for successful treatment. Healthcare today faces new challenges with increased needs while access to resources is limited. Here, the nurse has an important role to play. Aims and issues: To identify interventions aimed at patients with atrial fibrillation in which nurses are involved, independently or in teams, and its effects on disease-specific knowledge, self-care and quality of life. 1. What participation/function/role do nurses have in the care and treatment of patients with atrial fibrillation? 2. What are the effects of these interventions? Method: A systematic literature study consisting of nine articles with a quantitative approach of high or medium quality was analyzed according to Bettany-Saltikov & McSherry (2016). The results were presented in tabular form and in descriptive text. Results: Six interventions resulted in three headings: Patient education, Psychosocial support, Review and adjustment of drugs and examinations. The nurse has a person-centered and holistic perspective, which means seeing the person behind the patient as an individual with a history, identity, an ability to take initiative and feel responsible and involved. With the introduction of Integrated care, the opportunity is seen for more individualized and cohesive care. Conclusion: The results have shown that when nurses are involved in care, the results are as good or better than with previously given care. Clinical implications: individualized patient education, risk factor modification and self-care knowledge, as well as spreading knowledge for better compliance with guidelines in care.

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