Exploring expectations and needs of patients undergoing angioplasty

doi:10.1016/j.jvn.2016.04.003

Journal of Vascular Nursing

Volume 34, Issue 3, September 2016, Pages 93-99

https://doi.org/10.1016/j.jvn.2016.04.003 Get rights and content

Highlights

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Themes emerged include uncertainty, procedural knowledge, and social support.
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Patients try to have healthier behaviors after angioplasty.
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Adequate information is not given during the continuum of admission and discharge.
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Findings enhance our understanding on expectations and needs of Iranian patients after percutaneous coronary intervention.

This study aimed to explore needs and expectations of Iranian patients who undergone angioplasty procedures. Coronary artery disease is the leading cause of morbidity and mortality worldwide. Recently, Percutaneous Coronary Intervention (PCI) has frequently been used as a substitute for coronary artery surgery, representing a less invasive and more cost-effective procedure. However, little information is known about the experiences and needs of patients undergone PCI. This research involved a qualitative study that employed the content analysis method. A semi-structured in-depth interview protocol was carried out using a face-to-face approach. Researchers reached to theoretical saturation by interviewing 18 patients who undergone angioplasty. Constant comparison analysis was used with simultaneous data collection. Three themes emerged from this study including Uncertainty, Procedural knowledge and Social Support. The findings from this study enhance our understanding on expectations and needs of patients who undergone PCI. These findings help nurses and health-care providers to develop and provide pre and post-procedural care according to each individual needs and experiences. This Iranian study not only contributes to other international study but also, emphasizes on the need for pre-procedural awareness and post-procedural support of patients who undergone PCI.

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.

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View full text

ArticleExploring expectations and needs of patients undergoing angioplasty

Highlights

Section snippets

Design

Results

Discussion

Conclusions

Acknowledgments

Mo Med

Am Heart J

J Vasc Nurs

Heart Lung

Aust Crit Care

J Vasc Nurs

Rehabilitation outcomes following percutaneous coronary interventions (PCI)

Patient Educ Couns

Uncertainty and psychologic stress after coronary angioplasty and coronary bypass surgery

Heart Lung

Exploring the information needs of patients who have undergone PCI

British Journal of Cardiac Nursing

Knowledge, communication and expectancies of cardiac catheterization: The patient's perspective

Psychology Health Medicine

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

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J Interv Cardiol

The experiences of patients undergoing percutaneous transluminal coronary angioplasty: a qualitative exploration

World Crit Care Nurs

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NICE Clinical Guideline

Utilisation of outpatient cardiac rehabilitation in Queensland

Med J Aust

Article
Exploring expectations and needs of patients undergoing angioplasty