CABG and PTCA Patients' Expectations of Informational Support in Health-Related Quality of Life Themes and Adequacy of Information in 1-Year Follow-Up

Abstract

The purpose of this study was to describe coronary artery bypass grafting (CABG) and percutaneous transluminal coronary angioplasty (PTCA) patients' need for nursing informational support in health-related (HRQoL) items before and after coronary artery procedures. As well we present the adequacy of informational support from patients' viewpoint. The study sample (N=625) consisted of consecutive male (N=439) and female (N=176) patients with CAD who were treated with elective CABG or PTCA. The data were collected by structured interview before coronary artery procedures and by mailed questionnaires 6 and 12 months afterwards in 1999-2001. Patients in both groups reported needing the most information about recovery and psychosocial functioning before and after the treatments. Single HRQoL items identified that the expectations of women and men differed during the follow-up period. Women in the PTCA group needed more informational support than men before procedures, while men needed more support afterwards. Our results suggest that the content of informational support is different for male and female patients before and after the coronary artery procedures. The effects of nursing interventions and instruments for measuring change in patients' outcome resulting from nursing interventions should be developed further.

Unmet Information and Communication Needs in the Intermediate Recovery from Coronary Artery Bypass Surgery

“…Patient-teaching programs have received attention, and their content and organization have been significantly systematized to ensure the best possible benefit. Still, other studies also report that the provided programs do not sufficiently prepare convalescents for upcoming challenges (19,25). Incomprehensible or incomplete programs do not meet the CABG convalescents' developing needs, and are likely to inhibit their 'sense of coherence' (5).…”

Secondary prevention and learning needs post percutaneous coronary intervention (PCI): perspectives of both patients and nurses

“…The learning needs of cardiac patients include recognising and managing symptoms, medication management and lifestyle factors (Brezynskie et al. 1998, Kimble & King 1998, Gentz 2000, Scott & Thompson 2003, Kattainen et al. 2004, McGillion et al.…”

“…2004). Others have highlighted the importance of psychosocial issues and the need for physical and psychological support (Kattainen et al. 2004, Shih et al.…”

“…2005, Smith & Liles 2007). Equally, it is not known if in studies involving PTCA patients whether participants had experienced a previous MI or previous cardiac teaching (Kimble & King 1998, Kattainen et al. 2004).…”

The information needs of patients treated with primary angioplasty for heart attack: An exploratory study

“…Therefore, findings may be less relevant to those treated with p-PCI. Such studies show that patients recovering from MI [10,[17][18][19][20][21][22][23] and elective coronary angioplasty [24] have been reported to have 'unmet' information needs.…”