The experience of primary PCI

A patients perspective

Felicity Astin, S José Closs, Stacey Hunter, Claire Priestley, Jim McLenachan

Research output: Contribution to journalMeeting Abstract

Abstract

Background: Primary Percutaneous Coronary Intervention (p-PCI) is recognized as the gold standard treatment for patients with STEMI. Little is known about patients' experiences of p-PCI and the way in which events that occur during hospitalization might influence ways in which they ‘make sense’ of their illness during recovery. Purpose: To explore patients' experiences of p-PCI and the way they ‘make sense’ of events. Methods: Mixed methods were used (Semi-structured interviews and Illness PerceptionQuestionnaire—Revised version, (IPQ-R) Moss-Morris et al. 2002) and a purposive sample of 29 patients recruited from a specialist UK cardiac centre serving a population of over 2 million. The average age of participants was 60 years (range 36–83), 59% were male and 14% lived alone. Interviews were conducted 3–12 days after primary PCI. All participants were fluent in English, had no documented cognitive deficits or prior cardiac history. One-toone interviews were audio-taped and transcribed verbatim. NVivo software was used in conjunction with Framework Analysis techniques to systematically order and synthesize findings. As part of this method, a priori issues and available literature were integrated into the data analysis. A thematic framework to guide analysis was reached by consensus with a researcher not involved in the interview process and subsequently applied to all the transcripts. Scores from the IPQ-R were used to illuminate and inform qualitative data. Result: Patients often experienced a mismatch between their expectations and reality. They often expected to have a general anesthetic and more procedural pain. The lack of a scar and unexpected feelings of energy was incongruent with the seriousness of their condition. Quantitative data supported the notion that patients experienced difficulty in ‘making sense’ of their condition. They tended to see their condition as ‘acute’ rather than ‘chronic’ and their treatment as curative. Conclusions: Collaborative discussions between patients and health professional about their interpretations of their p-PCI experience may promote a
Original languageEnglish
Article number1372
Pages (from-to)41-42
Number of pages1
JournalEuropean Journal of Cardiovascular Nursing
Volume7
Issue number1_suppl
Early online date1 Mar 2008
DOIs
Publication statusPublished - 1 Mar 2008
Externally publishedYes
Event8th Annual Spring Meeting on Cardiovascular Nursing - Malmö, Sweden
Duration: 14 Mar 200815 Mar 2008

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Bryophyta
Anesthetics
Consensus
Emotions
Hospitalization
Software
History
Interviews
Pain
Health
Therapeutics
Population
ST Elevation Myocardial Infarction

Cite this

Astin, F., José Closs, S., Hunter, S., Priestley, C., & McLenachan, J. (2008). The experience of primary PCI: A patients perspective. European Journal of Cardiovascular Nursing, 7(1_suppl), 41-42. [1372]. https://doi.org/10.1016/j.ejcnurse.2008.01.072
Astin, Felicity ; José Closs, S ; Hunter, Stacey ; Priestley, Claire ; McLenachan, Jim. / The experience of primary PCI : A patients perspective. In: European Journal of Cardiovascular Nursing. 2008 ; Vol. 7, No. 1_suppl. pp. 41-42.
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Astin, F, José Closs, S, Hunter, S, Priestley, C & McLenachan, J 2008, 'The experience of primary PCI: A patients perspective', European Journal of Cardiovascular Nursing, vol. 7, no. 1_suppl, 1372, pp. 41-42. https://doi.org/10.1016/j.ejcnurse.2008.01.072

The experience of primary PCI : A patients perspective. / Astin, Felicity; José Closs, S; Hunter, Stacey; Priestley, Claire; McLenachan, Jim.

In: European Journal of Cardiovascular Nursing, Vol. 7, No. 1_suppl, 1372, 01.03.2008, p. 41-42.

Research output: Contribution to journalMeeting Abstract

TY - JOUR

T1 - The experience of primary PCI

T2 - A patients perspective

AU - Astin, Felicity

AU - José Closs, S

AU - Hunter, Stacey

AU - Priestley, Claire

AU - McLenachan, Jim

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AB - Background: Primary Percutaneous Coronary Intervention (p-PCI) is recognized as the gold standard treatment for patients with STEMI. Little is known about patients' experiences of p-PCI and the way in which events that occur during hospitalization might influence ways in which they ‘make sense’ of their illness during recovery. Purpose: To explore patients' experiences of p-PCI and the way they ‘make sense’ of events. Methods: Mixed methods were used (Semi-structured interviews and Illness PerceptionQuestionnaire—Revised version, (IPQ-R) Moss-Morris et al. 2002) and a purposive sample of 29 patients recruited from a specialist UK cardiac centre serving a population of over 2 million. The average age of participants was 60 years (range 36–83), 59% were male and 14% lived alone. Interviews were conducted 3–12 days after primary PCI. All participants were fluent in English, had no documented cognitive deficits or prior cardiac history. One-toone interviews were audio-taped and transcribed verbatim. NVivo software was used in conjunction with Framework Analysis techniques to systematically order and synthesize findings. As part of this method, a priori issues and available literature were integrated into the data analysis. A thematic framework to guide analysis was reached by consensus with a researcher not involved in the interview process and subsequently applied to all the transcripts. Scores from the IPQ-R were used to illuminate and inform qualitative data. Result: Patients often experienced a mismatch between their expectations and reality. They often expected to have a general anesthetic and more procedural pain. The lack of a scar and unexpected feelings of energy was incongruent with the seriousness of their condition. Quantitative data supported the notion that patients experienced difficulty in ‘making sense’ of their condition. They tended to see their condition as ‘acute’ rather than ‘chronic’ and their treatment as curative. Conclusions: Collaborative discussions between patients and health professional about their interpretations of their p-PCI experience may promote a

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DO - 10.1016/j.ejcnurse.2008.01.072

M3 - Meeting Abstract

VL - 7

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JO - European Journal of Cardiovascular Nursing

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