Ivany, E, Lotto, R and Lane, D Patients’ views on stroke prevention for atrial fibrillation after an intracerebral haemorrhage: A qualitative study. European Journal of Cardiovascular Nursing. ISSN 1474-5151 (Accepted)

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Abstract

Aim (1) To explore the attitudes of patients with atrial fibrillation towards oral anticoagulation for stroke prevention post-intracerebral haemorrhage and (2) To explore factors that influence patients’ decision-making process for stroke prevention. Method and results Patients with documented diagnosis of atrial fibrillation and history of a non-traumatic intracerebral haemorrhage, who were eligible for long-term oral anticoagulation were recruited from eight hospitals in England, using purposive sampling. Data were collected using semi-structured interviews and analysed using Framework analysis. Twelve patients (mean (SD) age 76.2 (6.6) years; 9 men) were recruited. Patients’ main priority was to maintain an acceptable quality of life, reflected by the main theme ‘Living my life as normal’. When deciding to accept or decline oral anticoagulation for stroke prevention, patients were influenced by the following: 1. The individual, meaning factors relating to individuals’ personal attitudes towards health and healthcare, 2. Medical factors, encompassing factors relating to patients’ trust in medical expertise and patients’ information-seeking behaviours, 3. Social factors, highlighting the influence of patients’ social support network on patients’ decision-making. Conclusion Patients’ decision-making for stroke prevention for atrial fibrillation post-intracerebral haemorrhage was influenced by individual, medical, and social factors. At the heart of patients’ decision-making were concerns with maintaining an acceptable quality of life. The study findings help nurses and other healthcare professionals to better understand what matters to patients who are eligible for stroke prevention for AF post-ICH, thus promoting more effective shared-decision making.

Item Type:	Article
Uncontrolled Keywords:	1102 Cardiorespiratory Medicine and Haematology; 1110 Nursing; 1117 Public Health and Health Services; Nursing
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing
Divisions:	Nursing and Advanced Practice
Publisher:	Oxford University Press
SWORD Depositor:	A Symplectic
Date Deposited:	12 Dec 2024 14:36
Last Modified:	12 Dec 2024 14:45
URI:	https://researchonline.ljmu.ac.uk/id/eprint/25085

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