ArticleExploring expectations and needs of patients undergoing angioplasty
Section snippets
Design
This qualitative study used the “content analysis method.” Content analysis is a method of carrying out contextualized interpretation of textual data through a systematic classification process of coding that leads to recognition of patterns and themes.23 Qualitative analysis can be used to describe humans’ daily experiences, and individuals would rather be selected based on the contexts within which human experiences occur.24 Our sample was chosen among patients undergone coronary artery
Results
Demographic characteristics of participants are presented in Table 1. Participants in the present study were 12 male and 6 female aged between 42 and 68 years with mean age of 59 ± 3 years old. The interval between angioplasty and the time of interview was 4–16 months with mean interval of 6 ± 1 months. During data analysis, 236 primary codes were emerged, and then classified into three themes. These themes were uncertainty, procedural knowledge, and social support.
Discussion
To our knowledge, this is one of the few studies explores Iranian patients’ expectations of PCI. The average mean age of participants in this study was 59.3 years old. Our finding is almost consistent with the previous studies reported mean age of 59.8 years for east European patients, 61.5 years for west European, and 63 years old for patients in England.25 There were no significant differences in mean age at time of PCI among European countries, USA, and Canada. However, fewer PCIs were
Conclusions
Several themes emerged in this qualitative study including uncertainty, procedural knowledge, and seeking social supports. These findings enhance our understanding on expectations and needs of patients who undergone PCI. Nurses and healthcare providers may benefit from these findings to develop and provide preprocedural and postprocedural care according to the individual's needs and expectations. The findings in this study showed that physicians, nurses, and other healthcare providers may
Acknowledgments
We would like to thank the Ilam University of Medical Science for supporting this study.
References (46)
- et al.
Patients overestimate the potential benefits of elective percutaneous coronary intervention
Mo Med
(2011) - et al.
Understanding of the benefits of coronary revascularization procedures among patients who are offered such procedures
Am Heart J
(2007) - et al.
A music intervention to reduce anxiety before vascular angiography procedures
J Vasc Nurs
(2006) - et al.
Living with heart disease after angioplasty: a qualitative study of patients who have been successful or unsuccessful in multiple behavior change
Heart Lung
(2010) - et al.
The patients’ perception of recovery after coronary angioplasty
Aust Crit Care
(2000) - et al.
Patients' experiences and feelings before undergoing peripheral percutaneous transluminal angioplasty
J Vasc Nurs
(2013) - et al.
Rehabilitation outcomes following percutaneous coronary interventions (PCI)
Patient Educ Couns
(2001) - et al.
Uncertainty and psychologic stress after coronary angioplasty and coronary bypass surgery
Heart Lung
(1995) - et al.
Exploring the information needs of patients who have undergone PCI
British Journal of Cardiac Nursing
(2009) - et al.
Knowledge, communication and expectancies of cardiac catheterization: The patient's perspective
Psychology Health Medicine
(2002)
Iran (Islamic Republic of): WHO statistical profile
Shahid Rajaie Cardiovascular Medical and research Centre About us, history
An epidemiological model (Markov Chain) of cardiovascular disease in Iran
Comparison of outcomes of percutaneous coronary intervention on proximal versus non-proximal left anterior descending coronary artery, proximal left circumflex, and proximal right coronary artery: a cross-sectional study
BMC Cardiovasc Disord
Cardiac rehabilitation reduces the rate of major adverse cardiac events after percutaneous coronary intervention
Eur J Cardiovasc Nurs
Coronary artery bypass surgery versus percutaneous coronary intervention with drug-eluting stent implantation in patients with multivessel coronary disease
J Interv Cardiol
The experiences of patients undergoing percutaneous transluminal coronary angioplasty: a qualitative exploration
World Crit Care Nurs
Expected treatment benefits of percutaneous transluminal coronary angioplasty: the patient’s perspective
Int J Cardiovasc Imaging
Informed consent for interventions in stable coronary artery disease: problems, etiologies, and solutions
Eur J Cardiothorac Surg
Effectiveness of video-based patient information before percutaneous cardiac interventions
J Cardiovasc Med
MI—secondary prevention: secondary prevention in primary and secondary care for patients following a myocardial infarction
NICE Clinical Guideline
Utilisation of outpatient cardiac rehabilitation in Queensland
Med J Aust
Cited by (17)
Effects of a 360° virtual counselling environment on patient anxiety and CCTA process time: A randomised controlled trial
2023, RadiographyCitation Excerpt :Traditionally, counselling for medical imaging is provided in written format, which may be misunderstood and misinterpreted.78,80,95–97 The use of digital technologies in counselling enables the simultaneous provision of written, verbal, and visual information, a feature which has been desired by patients.18,72,78,98–102 Novel digital technologies, such as virtual reality (VR), have become increasingly available to consumers.
Health information needs and dissemination methods for individuals living with ischemic heart disease: A systematic review
2023, Patient Education and CounselingCitation Excerpt :This was especially so for the management of IHD, for which evidence-based updates would constantly emerge in guidelines and therapeutic options. It would thus be challenging for lay patients to comprehend the various clinical nuances, such as recognizing differences between medical therapy or surgical interventions for angina [26], or evaluating potential outcomes of an angiography [27]. Several subthemes were identified throughout the synthesis: treatment options; potential complications; outcomes and expectations of therapy; and post-intervention concerns.
Preoperative concerns of patients undergoing general surgery
2021, Patient Education and CounselingCitation Excerpt :Patients questioned the credibility of the HCPs when relevant information was not conveyed effectively. Patients described not being able to fully comprehend the complexity of the surgical experience [22,30], while some complained that there was little effort by the healthcare team to provide them with the relevant information in the first place [18,19,21,22,27–30,32,33,35,40,41,43,44]. Similarly, when there was an obvious breakdown in communication, be it amongst the HCPs [28,32,33], or between professionals and patients [32,38,39], patients began to doubt the ability of professionals to care for them.
In the shadow of perceived threat: The live experience of Iranian patients candidate for undergoing coronary angiography
2018, Journal of Vascular NursingThe Effect of Cold Sand Pack on Percutaneous Coronary Intervention-Induced Vascular Complications and Pain: A Randomized Controlled Trial
2024, Florence Nightingale Journal of Nursing
Conflict of interest: There is no conflict of interest in this study.