Visualisation during ablation of atrial fibrillation – stimulating the patient’s own resources: Patients’ experiences in relation to pain and anxiety during an intervention of visualisation

Nørgaard, Marianne Wetendorff; Pedersen, Preben Ulrich; Bjerrum, Merete

doi:10.1177/1474515114548643

Cited by 6 publications

(5 citation statements)

References 35 publications

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“…These feelings can encourage patients to actively mobilize their internal resources. During the administration of interventions and ablations, the technique of visualization was reported to significantly ameliorate anxiety, help in pain management and improve well‐being and satisfaction with treatment 22,23 Well, I felt incredibly comfortable all the way in, so you could say that when she asked if I was nervous or anxious, I almost think I continually said no because I felt really comfortable 23 …”

Section: Resultsmentioning

confidence: 99%

“…22 , 23 Well, I felt incredibly comfortable all the way in, so you could say that when she asked if I was nervous or anxious, I almost think I continually said no because I felt really comfortable. 23 …”

Section: Resultsmentioning

confidence: 99%

“…(22) Was data saturation discussed? (23) Were transcripts returned to participants for comment and/or correction? (24) How many data coders coded the data?…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Patients' experiences across the trajectory of atrial fibrillation: A qualitative systematic review

Wang

Liu

Bao

et al. 2022

Health Expectations

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Aim: This study aimed to synthesize qualitative evidence on experiences of patients with atrial fibrillation (AF) during the course of diagnosis and treatment. We addressed three main questions: (a) What were the experiences of patients with AF during the course of diagnosis and treatment? (b) How did they respond to and cope with the disease? (c) What were the requirements during disease management? Design: In this study, qualitative evidence synthesis was performed using the Thomas and Harden method. Data Sources: Electronic databases, including PubMed, the Cochrane Library, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature, the China Biomedical Database, the WanFang Database, Chinese National Knowledge Infrastructure and VIP, were searched. The databases were searched from inception to August 2021.Review Methods: Two researchers independently selected studies using qualitative assessment and review instruments for quality evaluation and thematic synthesis for the data analysis.Results: A total of 2627 studies were identified in the initial search and 15 studies were included. Five analytical themes were generated: 'Diagnosing AF'; 'The impact of AF on the patients'; 'Self-reorientation in the therapeutic process'; 'Living with AF and QoL'; and 'External support to facilitate coping strategies.' Conclusions: Our findings point out unique experiences of patients across the trajectory of AF related to delayed diagnosis, feelings of nonsupport, disappointment of repeated treatment failure and multiple distress associated with unpredictable symptoms. Future research and clinical practice are expected to improve the quality of medical diagnosis and treatment, optimize administrative strategy and provide diverse health support for patients with AF.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Patients' experiences across the trajectory of atrial fibrillation: A qualitative systematic review

Wang

Liu

Bao

et al. 2022

Health Expectations

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“…Numerous reports analyzing the anxiety among cardiac patients are currently carried out in coronary heart disorder patients [2]. It has been stated that patients suffering AF only are subjected to an increased rate of psychological distress.…”

Section: Anxiety In Af Patientsmentioning

confidence: 99%

Anxiety and atrial fibrillation: an interesting bidirectional association.

Alqaqa¹

2017

cardiology

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Atrial fibrillation stands as one of the most common supraventricular arrhythmias. Its incidence in general population has escalated significantly over the last few decades. The health-related quality of life (HRQoL) of patients with atrial fibrillation is currently a vital concern in cardiovascular health management. Accordingly, key elements of meager HRQoL of AF patients demand better clarification. Nowadays, several reports have tested the mutual relation between anxiety and AF initiation and progression. Significantly, anxiety affects how the patients approach their disease and, additionally, anxiety may affect the efficiency of various AF therapies. The goal of this research is to explore an area that considered by patients to be challenging before the therapeutic work-up. Study concluded that there is a multifaceted relationship between AF and anxiety. AF can ground anxiety among patients and equally, anxiety can pave a background that is favorable for the initiation and Progression of AF.

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“…Consequently, even under deep sedation, patients may still experience considerable pain, anxiety, fatigue, and other discomforts, which may be associated with poor outcomes [16][17][18]. Several studies have indicated that nonpharmacological interventions could be ideal adjuncts to sedative drugs, effectively reducing patients' physical or psychological discomfort and the required doses of sedative drugs during medical invasive procedures [19,20].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Mindfulness Meditation App Based on an Electroencephalography-Based Brain-Computer Interface in Radiofrequency Catheter Ablation for Patients With Atrial Fibrillation: Pilot Randomized Controlled Trial

He¹,

Tang²,

Sun³

et al. 2023

JMIR Mhealth Uhealth

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Background Radiofrequency catheter ablation (RFCA) for patients with atrial fibrillation (AF) can generate considerable physical and psychological discomfort under conscious sedation. App-based mindfulness meditation combined with an electroencephalography (EEG)-based brain-computer interface (BCI) shows promise as effective and accessible adjuncts in medical practice. Objective This study aimed to investigate the effectiveness of a BCI-based mindfulness meditation app in improving the experience of patients with AF during RFCA. Methods This single-center pilot randomized controlled trial involved 84 eligible patients with AF scheduled for RFCA, who were randomized 1:1 to the intervention and control groups. Both groups received a standardized RFCA procedure and a conscious sedative regimen. Patients in the control group were administered conventional care, while those in the intervention group received BCI-based app–delivered mindfulness meditation from a research nurse. The primary outcomes were the changes in the numeric rating scale, State Anxiety Inventory, and Brief Fatigue Inventory scores. Secondary outcomes were the differences in hemodynamic parameters (heart rate, blood pressure, and peripheral oxygen saturation), adverse events, patient-reported pain, and the doses of sedative drugs used in ablation. Results BCI-based app–delivered mindfulness meditation, compared to conventional care, resulted in a significantly lower mean numeric rating scale (mean 4.6, SD 1.7 [app-based mindfulness meditation] vs mean 5.7, SD 2.1 [conventional care]; P=.008), State Anxiety Inventory (mean 36.7, SD 5.5 vs mean 42.3, SD 7.2; P<.001), and Brief Fatigue Inventory (mean 3.4, SD 2.3 vs mean 4.7, SD 2.2; P=.01) scores. No significant differences were observed in hemodynamic parameters or the amounts of parecoxib and dexmedetomidine used in RFCA between the 2 groups. The intervention group exhibited a significant decrease in fentanyl use compared to the control group, with a mean dose of 3.96 (SD 1.37) mcg/kg versus 4.85 (SD 1.25) mcg/kg in the control group (P=.003).The incidence of adverse events was lower in the intervention group (5/40) than in the control group (10/40), though this difference was not significant (P=.15). Conclusions BCI-based app–delivered mindfulness meditation effectively relieved physical and psychological discomfort and may reduce the doses of sedative medication used in RFCA for patients with AF. Trial Registration ClinicalTrials.gov NCT05306015; https://clinicaltrials.gov/ct2/show/NCT05306015

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Visualisation during ablation of atrial fibrillation – stimulating the patient’s own resources: Patients’ experiences in relation to pain and anxiety during an intervention of visualisation

Cited by 6 publications

References 35 publications

Patients' experiences across the trajectory of atrial fibrillation: A qualitative systematic review

Patients' experiences across the trajectory of atrial fibrillation: A qualitative systematic review

Anxiety and atrial fibrillation: an interesting bidirectional association.

Effectiveness of a Mindfulness Meditation App Based on an Electroencephalography-Based Brain-Computer Interface in Radiofrequency Catheter Ablation for Patients With Atrial Fibrillation: Pilot Randomized Controlled Trial

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