The information needs of patients treated with primary angioplasty for heart attack

An exploratory study

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

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Objective
As early recovery is a challenging period for cardiac patients who frequently have ‘unmet’ health information needs, the objective of this study was to explore the information needs of patients treated with primary angioplasty for heart attack.

Methods
Qualitative methodology using semi-structured interviews with 29 patients recruited from a specialist English Cardiology centre, 3–12 days after discharge from hospital. Framework analysis techniques were used to synthesise findings.

Results
Participants were generally satisfied with the way in which health information was provided. The need for more specific information about the risk of recurrence, the level of heart muscle damage, discharge medications, appropriate levels of physical activity and diet was highlighted. There was no clear preference for informant and preferences for the timing of information delivery varied considerably.

Conclusion
Health information provision was satisfactory for most but could be improved by the closer matching of patients’ preferences with provision. The shortened hospital stay, rapid throughput and emotional shock experienced by patients influenced their ability to absorb information making the optimum timing for health information delivery variable.

Practice implications
Current guidelines about the provision of health information for patients recovering from heart attack may need to be reviewed to reflect the recent technological advances in treatment. One approach may be to better ‘stage’ information to reflect patients’ priorities. Home visits by specialist nurses may need to be scheduled earlier to improve continuity of care and address information ‘gaps’.
Original languageEnglish
Pages (from-to)325-332
Number of pages8
JournalPatient Education and Counseling
Volume73
Issue number2
Early online date8 Aug 2008
DOIs
Publication statusPublished - Nov 2008
Externally publishedYes

Fingerprint

Angioplasty
Myocardial Infarction
Health
House Calls
Continuity of Patient Care
Patient Preference
Cardiology
Practice Guidelines
Shock
Length of Stay
Myocardium
Interviews
Exercise
Diet
Recurrence

Cite this

Astin, Felicity ; Closs, S José ; McLenachan, Jim ; Hunter, Stacey ; Priestley, Claire. / The information needs of patients treated with primary angioplasty for heart attack : An exploratory study. In: Patient Education and Counseling. 2008 ; Vol. 73, No. 2. pp. 325-332.
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abstract = "ObjectiveAs early recovery is a challenging period for cardiac patients who frequently have ‘unmet’ health information needs, the objective of this study was to explore the information needs of patients treated with primary angioplasty for heart attack.MethodsQualitative methodology using semi-structured interviews with 29 patients recruited from a specialist English Cardiology centre, 3–12 days after discharge from hospital. Framework analysis techniques were used to synthesise findings.ResultsParticipants were generally satisfied with the way in which health information was provided. The need for more specific information about the risk of recurrence, the level of heart muscle damage, discharge medications, appropriate levels of physical activity and diet was highlighted. There was no clear preference for informant and preferences for the timing of information delivery varied considerably.ConclusionHealth information provision was satisfactory for most but could be improved by the closer matching of patients’ preferences with provision. The shortened hospital stay, rapid throughput and emotional shock experienced by patients influenced their ability to absorb information making the optimum timing for health information delivery variable.Practice implicationsCurrent guidelines about the provision of health information for patients recovering from heart attack may need to be reviewed to reflect the recent technological advances in treatment. One approach may be to better ‘stage’ information to reflect patients’ priorities. Home visits by specialist nurses may need to be scheduled earlier to improve continuity of care and address information ‘gaps’.",
keywords = "Coronary angioplasty, Primary angioplasty, Myocardial infarction, Health information, Interview study, Coronary heart disease, Patient education",
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The information needs of patients treated with primary angioplasty for heart attack : An exploratory study. / Astin, Felicity; Closs, S José; McLenachan, Jim; Hunter, Stacey; Priestley, Claire.

In: Patient Education and Counseling, Vol. 73, No. 2, 11.2008, p. 325-332.

Research output: Contribution to journalArticle

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AU - Closs, S José

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AU - Hunter, Stacey

AU - Priestley, Claire

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N2 - ObjectiveAs early recovery is a challenging period for cardiac patients who frequently have ‘unmet’ health information needs, the objective of this study was to explore the information needs of patients treated with primary angioplasty for heart attack.MethodsQualitative methodology using semi-structured interviews with 29 patients recruited from a specialist English Cardiology centre, 3–12 days after discharge from hospital. Framework analysis techniques were used to synthesise findings.ResultsParticipants were generally satisfied with the way in which health information was provided. The need for more specific information about the risk of recurrence, the level of heart muscle damage, discharge medications, appropriate levels of physical activity and diet was highlighted. There was no clear preference for informant and preferences for the timing of information delivery varied considerably.ConclusionHealth information provision was satisfactory for most but could be improved by the closer matching of patients’ preferences with provision. The shortened hospital stay, rapid throughput and emotional shock experienced by patients influenced their ability to absorb information making the optimum timing for health information delivery variable.Practice implicationsCurrent guidelines about the provision of health information for patients recovering from heart attack may need to be reviewed to reflect the recent technological advances in treatment. One approach may be to better ‘stage’ information to reflect patients’ priorities. Home visits by specialist nurses may need to be scheduled earlier to improve continuity of care and address information ‘gaps’.

AB - ObjectiveAs early recovery is a challenging period for cardiac patients who frequently have ‘unmet’ health information needs, the objective of this study was to explore the information needs of patients treated with primary angioplasty for heart attack.MethodsQualitative methodology using semi-structured interviews with 29 patients recruited from a specialist English Cardiology centre, 3–12 days after discharge from hospital. Framework analysis techniques were used to synthesise findings.ResultsParticipants were generally satisfied with the way in which health information was provided. The need for more specific information about the risk of recurrence, the level of heart muscle damage, discharge medications, appropriate levels of physical activity and diet was highlighted. There was no clear preference for informant and preferences for the timing of information delivery varied considerably.ConclusionHealth information provision was satisfactory for most but could be improved by the closer matching of patients’ preferences with provision. The shortened hospital stay, rapid throughput and emotional shock experienced by patients influenced their ability to absorb information making the optimum timing for health information delivery variable.Practice implicationsCurrent guidelines about the provision of health information for patients recovering from heart attack may need to be reviewed to reflect the recent technological advances in treatment. One approach may be to better ‘stage’ information to reflect patients’ priorities. Home visits by specialist nurses may need to be scheduled earlier to improve continuity of care and address information ‘gaps’.

KW - Coronary angioplasty

KW - Primary angioplasty

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