Condition 1: Atrial Fibrillation. Condition 2: Comorbidities (cardiac, respiratory, metabolic). Unspecified atrial fibrillation Cardiac, respiratory, and metabolic comorbidities including hypertension, heart failure, ischemic heart disease, COPD, asthma, type 2 diabetes mellitus, hyperlipidemia, metabolic syndrome, and obesity
Conditions
Interventions
Intervention 1: Intervention group:The intervention framework is based on an integrated person-centered care approach consisting of four phases (assessment of health needs and care goals, care plannin
Sponsors
Khoram-Abad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
30 Years to 80 Years
Inclusion criteria
Inclusion criteria: Age between 30 and 80 years Having at least two cardiometabolic comorbidities, including hypertension, obesity, coronary artery disease, vascular congestion, venous congestion, dyslipidemia, heart failure, diabetes, and respiratory diseases such as pulmonary hypertension, interstitial edema, pleural effusion, asthma Atrial fibrillation confirmed by a cardiologist based on the patient’s 12-lead electrocardiogram (ECG) Planned admission to the cardiac intensive care unit (CICU) for an average of 4 days Oriented to time, place, and person Ability to communicate Familiarity with and understanding of the Persian language (Luri or Laki dialect) Stable physical and mental condition, with no known psychiatric or psychomotor disorders Access to a mobile phone (patient’s own or that of a first-degree relative living with the patient) or a landline telephone Access to the internet or a virtual messaging application (e.g., WhatsApp) for receiving files and virtual training Residency in Khorramabad city or surrounding areas (within a maximum distance of 20 km)
Exclusion criteria
Exclusion criteria: Acute myocardial infarction or other life-threatening events and hypertensive crises Emergency conditions preventing attendance at in-person sessions Hemodynamic instability Transfer to the intensive care unit (ICU) Life expectancy of less than 6 months Need for implantable devices, ablation procedures, or cardiac surgery Participation in other cardiac rehabilitation programs Presence of any severe hearing, visual, or speech impairment that interferes with effective participation in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptom Burden. Timepoint: Before the intervention. Method of measurement: Atrial Fibrillation Severity Scale (AFSS).;Functional Capacity. Timepoint: Before the intervention. Method of measurement: Duke Activity Status Index (DASI). | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactIlnaz Naseri
Khoram-Abad University of Medical Sciences
Outcome results
None listed