Application efficacy of internet-based continuous fine nursing in patients with atrial fibrillation after radiofrequency ablation

Yu Chang; Ma Lili; Wu Yuhang; Yu Ting; Fan Jianhua; Qian Rong

Abstract：Objective To evaluate the effectiveness of internet based continuous fine nursing in patients with atrial fibrillation(AF)after radiofrequency ablation(RFCA).Methods A prospective,randomized controlled trial was conducted between January 2020 and December 2022,including 152 AF patients who underwent RFCA.Participants were divided into an observation group(n=76)receiving conventional care plus internet-based continuous fine nursing and a control group(n=76)receiving standard care.The intervention involved an internet platform for personalized care plans,health education,and regular follow-ups.Outcomes assessed were AF recurrence,quality of life using the AFEQT scale,mental health using HAMA and HAMD scales,and medication adherence.Results The observation group had significantly lower AF recurrence rates at 3 months(3.95%vs.10.53%),6 months(10.53%vs.21.05%),and 12 months(23.68%vs.39.47%)post-RFCA(P<0.05).AFEQT scores improved in both groups,but the observation group showed significantly higher scores at 3 months and 12 months(P<0.05).HAMA and HAMD scores indicated the improved mental health in the observation group at 12 months(P<0.05).Medication adherence was also higher in the observation group at 3 months and 12 months(P<0.05).Conclusion Implementation of an internet-based continuous fine nursing model in AF patients post-RFCA can lead to reduced recurrence rates,enhanced self-management,improved quality of life,and better mental health outcomes.