Heart & Lung最新文献

{"title":"A cross-sectional study of Hispanic and Latina/o/x/e individuals’ acute coronary syndrome symptom knowledge, attitudes, and beliefs","authors":"John R. Blakeman PhD, RN, PCCN ,&nbsp;Susana J. Calderon PhD, RN ,&nbsp;Susie Watkins PhD, RN, CNE, CPAHA ,&nbsp;MyoungJin Kim PhD ,&nbsp;Kate Peterson MSN, RN, CPN, CNE ,&nbsp;Marilyn A. Prasun PhD, CCNS, CNL, CHFN, FAHA","doi":"10.1016/j.hrtlng.2024.05.007","DOIUrl":"10.1016/j.hrtlng.2024.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Little attention has been placed on language proficiency as a potential variable affecting ACS symptom knowledge, attitudes, and beliefs.</p></div><div><h3>Objectives</h3><p>To compare the ACS symptom knowledge, attitudes, and beliefs of Hispanic and Latina/o/x/e individuals proficient in English and in those only proficient in Spanish. Secondary aims were to determine if there were differences in ACS symptom knowledge, attitudes, or beliefs based on participants’ previous exposure to ACS symptom information and to evaluate instrument characteristics of the new Spanish version of the ACS Response Index.</p></div><div><h3>Methods</h3><p>This cross-sectional, comparative study included participants (<em>N</em> = 99) from a community-based clinic in Illinois. Knowledge, attitudes, and beliefs related to ACS symptoms were measured using the ACS Response Index.</p></div><div><h3>Results</h3><p>The average participant was 39.8 (SD 15.6) years of age, female (<em>n</em> = 56, 56.6 %), and had a high school education or less (<em>n</em> = 61, 61.6 %). Participants correctly classified a mean 57.5 % (SD 12.8) of symptoms and had mean attitude and belief scores of 12.1 (SD 3.3) and 17.5 (SD 2.9), respectively. There were no significant differences in knowledge, attitudes, and beliefs based on language proficiency. However, there were some statistically significant differences for knowledge and attitude scores based on exposure to ACS symptom information. The ACS Response Index (Spanish Version) also demonstrated favorable internal consistency.</p></div><div><h3>Conclusions</h3><p>Overall knowledge, attitude, and belief scores were modest in this sample. Higher knowledge and attitude scores were observed for some types of ACS information exposure, supporting the importance of future educational efforts in this population.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"American Association of Heart failure nurses’ knowledge, barriers and facilitators in conducting research","authors":"Cheryl Westlake PhD, RN, ACNS-BC, FHFSA, FAHA, FAAN, Director of Nursing Research and EBP, Professor Emerita ,&nbsp;Kristen A. Sethares PhD, RN, CNE, FAHA, FHFSA, Professor of Nursing ,&nbsp;Aimee Hamel MSN, RN, PhD Student","doi":"10.1016/j.hrtlng.2024.04.006","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.04.006","url":null,"abstract":"<div><h3>Background</h3><p>To provide high-quality patient care, heart failure (HF) nurses must comprehend/use best evidence; however, HF nurses’ ability to do so are unknown.</p></div><div><h3>Objectives</h3><p>To describe HF nurses’ research interest/involvement, confidence, facilitators/motivators, and barriers to lead/collaborate in research studies.</p></div><div><h3>Methods</h3><p>A descriptive design with convenience sampling and online data collection (Qualtrics) were used with American Association of HF Nurses members. Recruited/included nurses (<em>n</em> = 145) needed to be of any educational level and currently practicing in any practice setting in the United States. A 30-item, adapted instrument assessed research interest (one-question), involvement (two-questions), confidence (two-questions), facilitators (one-question), motivators (three-questions), and barriers (21-questions).</p></div><div><h3>Results</h3><p>Subjects (<em>n</em> = 145) were Caucasian (<em>n</em> = 124, 86.1 %) females (<em>n</em> = 137, 96.5 %) with an average age of 52.5 ± 10.38 years and 26.90±12.06 years of nursing experience. Nurses were interested in conducting nursing research (7.78/10±2.37) but involvement was low. Most frequently (<em>n</em> = 73, 50.3 %) nurses served as principal/co-investigators. Confidence with research participation was moderate (70.28/100±26.92) and in their ability to understand/apply research findings were low (21.68/100±80.07). The most frequently reported facilitator was the ability to control their own schedule/work (<em>n</em> = 30, 20.7 %) and the strongest motivator (<em>n</em> = 107, 73.8 %) was the perception presenting nursing research/EBP impacts HF care. The greatest reported barrier was the authority to seek research funding (2.39/5 ± 1.14). Nursing experience (<em>p</em>=.034), interest in participating in nursing research (<em>p</em>=.01), and how much presenting nursing research/EBP impacted one's performance review (<em>p</em>&lt;.001) added to the prediction (R²=0.499, <em>p</em>&lt;.001).</p></div><div><h3>Conclusions</h3><p>The gained knowledge may promote development of innovative programs and educational opportunities to increase HF nurses’ research activities.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140906171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Board of Directors","authors":"","doi":"10.1016/S0147-9563(24)00072-4","DOIUrl":"https://doi.org/10.1016/S0147-9563(24)00072-4","url":null,"abstract":"","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0147956324000724/pdfft?md5=7ce59f481bdc93ddb3b84488f4714923&pid=1-s2.0-S0147956324000724-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140906320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between red blood cell distribution width and the all-cause mortality of patients with aortic stenosis: A retrospective study","authors":"Benhui Liang ,&nbsp;Yiyang Tang ,&nbsp;Shien Li ,&nbsp;Xinyi Zhou ,&nbsp;Mukamengjiang Juaiti ,&nbsp;Lihuang Zha ,&nbsp;Zaixin Yu ,&nbsp;Meijuan Wang ,&nbsp;Yilu Feng","doi":"10.1016/j.hrtlng.2024.04.020","DOIUrl":"10.1016/j.hrtlng.2024.04.020","url":null,"abstract":"<div><h3>Background</h3><p>It is essential to assess the risk stratification of patients with aortic stenosis (AS).</p></div><div><h3>Objective</h3><p>To clarify the predictive value of red blood cell distribution width (RDW) in AS patients using a large cohort from the MIMIC-IV database.</p></div><div><h3>Methods</h3><p>Restricted cubic spline, the Kaplan-Meier method, and logistic and Cox regression analyses were used to explore the association between RDW and all-cause mortality in AS patients. Multivariate adjustments, propensity score matching and weighting, and subgroup analysis were conducted to exclude confounding factors. Receiver operating characteristic (ROC) and decision curve analysis (DCA) curves were drawn to evaluate the predictive performance of RDW.</p></div><div><h3>Results</h3><p>1,148 patients with AS were included. Their death risks gradually increased with the elevation of RDW. Multivariate-adjusted 90-day (OR: 2.12; HR: 1.90; <em>p</em> = 0.001) and 1-year (OR: 2.07; HR: 1.97; <em>p</em> &lt; 0.001) all-cause mortalities were significantly higher in patients with RDW≥14.7 %, which remained robust after propensity score matching and subgroup analysis. For AS patients with high RDW, those &lt; 75 years old had higher death risks than those ≥ 75 years old. The area under the ROC curve of RDW were 0.741 and 0.75 at 90-day and 1-year follow-ups, respectively, exhibiting comparable performance to acute physiology score III and outperforming other critical illness scores in predicting the prognosis of AS patients. DCA curves also illustrated that RDW had a wide range of net benefits.</p></div><div><h3>Conclusions</h3><p>High RDW was independently associated with increased 90-day and 1-year all-cause mortalities of AS patients, with strong predictive capability of prognosis.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140909410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of time from ILD diagnosis to referral to the transplant center on the probability of inclusion in the transplant waiting list","authors":"Víctor M. Mora-Cuesta PhD ,&nbsp;Amaya Martínez-Meñaca MD ,&nbsp;Ángel González-Fernández MD ,&nbsp;David Iturbe-Fernández MD ,&nbsp;Sandra Tello-Mena MD ,&nbsp;Sheila Izquierdo-Cuervo MD ,&nbsp;Sonia Fernández-Rozas MD ,&nbsp;Pilar Alonso-Lecue PhD ,&nbsp;José M Cifrián-Martínez PhD","doi":"10.1016/j.hrtlng.2024.04.022","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.04.022","url":null,"abstract":"<div><h3>Background</h3><p>Lung transplant is a therapeutic option for patients with progressive interstitial lung disease (ILD).</p></div><div><h3>Objectives</h3><p>The objective of this study was to determine whether time from ILD diagnosis to referral to a transplant center influences the probability of being included in the transplant waiting list.</p></div><div><h3>Methods</h3><p>We performed a retrospective cohort study including all ILD patients evaluated as lung transplantation (LT) candidates at a lung transplant center between 01/01/2017 and 31/12/2022. The primary endpoint was the probability of being included in the lung transplant waiting list according to the time elapsed from diagnosis to referral to the transplant center.</p></div><div><h3>Results</h3><p>A total of 843 lung transplant requests were received, of which 367 (43.5%) were associated with ILD. Thirteen patients were excluded because they did not attend the first visit, whereas another 11 were excluded because some information was missing. As a result, our final sample was composed of 343 patients. The median time from diagnosis to referral was 29.4 (10.9 – 61.1) months. The overall probability of inclusion in the waiting list was 29.7%. By time from diagnosis to referral, the probability of inclusion in the waiting list was 48.1% for the patients referred 〈 6 months from diagnosis; 27.5% for patients referred 6 to 24 months from diagnosis; and 25.8% for patients referred 〉 24 months from diagnosis (<em>p</em> = 0.007).</p></div><div><h3>Conclusions</h3><p>Early referral to a lung transplant center seemed to increase the probability of being included in the lung transplant waiting list. Further research is needed in this topic.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140910106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invited commentary: Association between Red Blood Cell Distribution width and the all-cause mortality of patients with aortic stenosis: A retrospective study","authors":"Luis D. Berrizbeitia MD","doi":"10.1016/j.hrtlng.2024.04.021","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.04.021","url":null,"abstract":"","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Causal role of circulating inflammatory cytokines in cardiac diseases, structure and function","authors":"Weiqiang Ruan MD ,&nbsp;Xiaoqin Zhou MD ,&nbsp;Huizhen Liu MS ,&nbsp;Ting Wang MS ,&nbsp;Guiying Zhang MS ,&nbsp;Ke Lin MD","doi":"10.1016/j.hrtlng.2024.04.018","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.04.018","url":null,"abstract":"<div><h3>Background</h3><p>Inflammation is implicated in cardiovascular disease (CVD) pathogenesis, but causal roles of specific circulating inflammatory cytokines remain unclear. Mendelian randomization (MR) studies are well-poised to provide etiological insights beyond constraints of conventional research.</p></div><div><h3>Methods</h3><p>We conducted a large-scale MR study to investigate potential causal relationships of 91 inflammatory proteins with CVD outcomes and cardiac remodeling using summary-level genetic data. Outcomes included coronary artery disease, myocardial infarction, stroke, atrial fibrillation, heart failure, abdominal aortic aneurysm, deep vein thrombosis of lower extremities, pulmonary embolism, cardiac structure and functional parameters. Inverse-variance weighted analysis was undertaken as the primary analysis, with several sensitivity analyses applied.</p></div><div><h3>Results</h3><p>Hepatocyte growth factor (HGF) demonstrated a causal relationship with increased susceptibility to both any stroke (OR 1.111; 95 % CI 1.044 - 1.183; <em>P</em> = 9.50e-04) and ischemic stroke (OR 1.121; 95 % CI 1.047 - 1.200; <em>P</em> = 1.04e-03). Programmed cell death 1 ligand 1 (PD-L1) was negatively associated with atrial fibrillation risk (OR 0.936, 95 % CI 0.901 - 0.973; <em>P</em> = 7.69e-04). CCL20, CDCP1, Flt3L and IL-10RA were identified as causal coronary artery disease risk factors, while LIF and ST1A1 had protective effects. IL-4 and LIF-R demonstrated causal links with right heart functional changes.</p></div><div><h3>Conclusions</h3><p>Our MR study nominates specific circulating inflammatory cytokines as potential targets for CVD treatment and prevention. Further research into mechanisms and clinical translation are warranted.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140843312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between commonly defined metabolic health phenotypes and obesity with lung function in a working population: A cross-sectional study","authors":"José-Miguel Guzmán-García PhD ,&nbsp;Manuel Romero-Saldaña PhD ,&nbsp;Guillermo Molina-Recio PhD ,&nbsp;Carlos Álvarez-Fernández PhD ,&nbsp;María del Rocío Jiménez-Mérida PhD ,&nbsp;Rafael Molina-Luque PhD","doi":"10.1016/j.hrtlng.2024.04.017","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.04.017","url":null,"abstract":"<div><h3>Background</h3><p>Four phenotypes relate metabolism and obesity: metabolically healthy (MHO) and unhealthy (MUO) people with obesity and metabolically healthy (MHNO) and unhealthy (MUNO) people without obesity. No studies have addressed the association between these categories and lung function in the working population.</p></div><div><h3>Objectives</h3><p>The aim was to determine the relationship of phenotypes to lung ageing as measured by lung age and its relationship to lung dysfunction.</p></div><div><h3>Methods</h3><p>A descriptive cross-sectional study was conducted in a working population. The outcome variable was lung function assessed by lung age. The four phenotypes of obesity and metabolic health (MHNO, MHO, MUO and MUNO) were determined using NCEP-ATP III criteria. Lung dysfunctions were classified into restrictive, obstructive, and mixed patterns.</p></div><div><h3>Results</h3><p>The mean age of the participants was 43.7 years, ranging from 18 to 67 years. Of the 1860 workers, 51.3 % were women. The prevalences found were 71.4 %, 12 %, 10.6 % and 6 % for MHNO, MUO, MHO, and MUNO, respectively. MHO (β = 0.66; <em>p</em> = 0.591) was not associated with increased lung ageing compared with MHNO, but MUO (β = 7.1; <em>p</em> &lt; 0.001) and MUNO (β = 6.6; <em>p</em> &lt; 0.001) were. Concerning pulmonary dysfunctions, MUNO (OR = 1.93; <em>p</em> &lt; 0.001) and MUO (OR = 2.91; <em>p</em> &lt; 0.001) were found to be related to the presence of a restrictive pattern, and MUNO (OR = 2.40; <em>p</em> = 0.028) to the mixed pattern.</p></div><div><h3>Conclusion</h3><p>The results show that metabolic abnormalities, not obesity, are responsible for premature lung ageing and, therefore, lung function decline. In our study, having obesity without metabolic abnormality was not significantly associated with the presence of dysfunctional respiratory patterns.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0147956324000785/pdfft?md5=46c4dc3ecde5aba01edb64783ed46c2f&pid=1-s2.0-S0147956324000785-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between coffee and caffeine intake and risk of COPD: Findings based on NHANES 2007–2012","authors":"Wan-Zhe Liao ,&nbsp;Jia-Xin Li ,&nbsp;Wei-Yi Feng ,&nbsp;Jia-Qi Xiao ,&nbsp;Zi-Xun Wang ,&nbsp;Shuo-Jia Xie ,&nbsp;Yi-Ming Hu ,&nbsp;Jun-Hao Mao ,&nbsp;Ze-Min Huang ,&nbsp;Xu-Guang Guo ,&nbsp;Wei-Jie Guan","doi":"10.1016/j.hrtlng.2024.04.015","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.04.015","url":null,"abstract":"<div><h3>Background</h3><p>The association between coffee and caffeine intake and the risk of COPD and lung function has not been thoroughly discussed in Americans, with subgroup and threshold effects remaining unclear.</p></div><div><h3>Objectives</h3><p>This study investigated the association between coffee and caffeine consumption and the risk of chronic obstructive pulmonary disease (COPD) as well as lung function utilizing data from the NHANES 2007–2012.</p></div><div><h3>Methods</h3><p>We assessed the associations of coffee and caffeine consumption with the risk of COPD and lung function parameters, including FEV1 and FVC, adjusting for common demographic and disease characteristics in a cross-sectional analysis of NHANES data.</p></div><div><h3>Results</h3><p>A total of 9763 participants were included in the study, and 592 were diagnosed with COPD. Multivariate regression models revealed positive associations between coffee and caffeine consumption and the risk of COPD and lung function. Subgroup analyses stratified by sex, DM, hypertension status, and smoking habits identified potential effect modifiers as well as inflection points from threshold effect examinations.</p></div><div><h3>Conclusions</h3><p>The results of this cross-sectional study indicated significant positive correlations between coffee and caffeine consumption and the risk of COPD. Additionally, positive correlations between exposure variables and FEV1 and FVC were detected. Among the stratification factors, smoking status exhibited the most potential for modifying effects. Future practices and research are needed to validate the results and explore the underlying mechanisms</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personal mastery and quality of life in patients with atrial fibrillation after radiofrequency ablation: The mediating role of health promoting behavior","authors":"Feng-juan Wang ,&nbsp;Chun Zhang ,&nbsp;Min-min Cai ,&nbsp;Jie-qiong Zhang ,&nbsp;Hai-xia Wang","doi":"10.1016/j.hrtlng.2024.04.016","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.04.016","url":null,"abstract":"<div><h3>Background</h3><p>Improving quality of life is vital for patients with atrial fibrillation (AF) after radiofrequency ablation. Quality of life can be affected not only by personal mastery but also by health promoting behavior as previously studied. However, it remains unclear whether health promoting behavior mediates the relationship between personal mastery and quality of life.</p></div><div><h3>Objectives</h3><p>To explore whether health promoting behavior mediates the relationship between personal mastery and quality of life in patients with AF after radiofrequency ablation.</p></div><div><h3>Methods</h3><p>A cross-sectional design and convenience sampling were conducted at a tertiary hospital in China. Self-reported questionnaires were used to assess personal mastery, health promoting behavior and quality of life. SPSS and AMOS software were used for statistical analysis.</p></div><div><h3>Results</h3><p>A total of 202 patients with AF after radiofrequency ablation were enrolled (mean age 58.28 ± 12.70 years). The scores for personal mastery and quality of life were 22.52 ± 2.53 points and 62.58 ± 8.59 points, respectively, indicating a limited level. The health promoting behavior exhibited a moderate level, with scores averaging 103.82 ± 8.47 points. There was a positive correlation between the three variables (all <em>P</em> &lt; 0.05). Health promoting behavior played a partial mediating role in the relationship between personal mastery and quality of life in patients with AF after radiofrequency ablation, accounting for 44.79 % of the total effect.</p></div><div><h3>Conclusions</h3><p>In order to improve quality of life and prognosis, it is necessary to consider enhancing personal mastery and increasing patient compliance with health promoting behavior, which are important ways to improve their quality of life.</p></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}