Self-Care Behaviour and Factors Associated with Patient Outcomes Following Same-Day Discharge Percutaneous Coronary Intervention

Abstract

Background: The demand for percutaneous coronary intervention (PCI) exerts constant pressure on health care systems to meet the growing needs of patients. The practice of same-day discharge PCI has emerged as a medically safe option to optimize resource utilization and improve access to care. Aim: The purpose of this study was to describe elective same-day discharge PCI patients' self-care behaviour in the two to five days following their procedure, and the factors associated with cardiac self-efficacy (CSE) and self-care agency (SCA). Methods: Using a cross-sectional correlational design, 98 consecutive patients were contacted by telephone, following PCI, and asked about their CSE, SCA, and adherence to discharge recommendations. Associations between selected variables were explored through multiple regression analysis. Results: The findings revealed a high degree of adherence to discharge recommendations, although participants' appreciation of the long term management of their chronic disease was limited. Factors associated with lower levels of CSE and SCA included the burden of having additional chronic co-morbidities, living alone and lacking social support, and a positive screening for psychosocial distress. Conclusion: Same-day discharge PCI presents a sustainable option for delivery of care for most patients. Some clients may require additional support to manage the transition between acute intervention and chronic disease management. Crown

Patient Recovery and Transitions After Hospitalization for Acute Cardiac Events

“…40 Both patients with PCI and patients with ACS reported having a lack of knowledge or understanding of their cardiac condition. 11,26,43 Often, PCI and HF patients had misconceptions about the cause of their heart condition and attributed it to a variety of other causes (eg, stress, drinking, bad luck). 45,78 Over time, misconceptions by PCI patients usually decreased, and there was an increased acceptance of their cardiac condition as a chronic illness rather than just an acute event.…”

The lived experiences of patients post coronary angioplasty: A qualitative study

“…Compared with open surgery, angioplasty is a relatively safe and cost effective treatment alternative. 3 Some 1,260 coronary interventions are carried out every day in Iran, 4 and the success of angioplasty has been reported at 95%, comparable with to internationals statistics. 5 Despite a common belief, coronary angioplasty cannot halt the progression of CHD, and 30%-40% of patients experience a recurrent cardiac event or the need for a repeat angioplasty during the first 2 years after the procedure.…”

Capacidad de agencia de autocuidado y factores relacionados con la agencia en personas con insuficiencia cardíaca de la ciudad de Medellín (Colombia)

“…En este estudio, la capacidad de agencia de autocuidado fue mayor en los casados que en los viudos, siendo el estado civil una variable explicativa que se asoció significativamente a tener suficiente capacidad de agencia, siendo este hallazgo consistente con los resultados de otros cinco estudios (22,23,(26)(27)(28) . Las personas con IC que tenían estudios universitarios tuvieron los mayores puntajes de ASA.…”

“…Esto es explicable en el sentido de que a mayor clase funcional es peor el estado físico general del paciente y, por tanto, son menores las capacidades que tiene de cuidarse a sí mismo. Igual razonamiento podemos hacer con la fracción de eyección, los datos mostraron una relación inversa entre ésta y el puntaje de ASA, hallazgo que también fue observado por Lauck et al (26) . Tener adecuada agencia de autocuidado aumenta en la persona las probabilidades de adquirir o mejorar las conductas de salud, así como la capacidad específica de autogestión de su enfermedad (27) .…”