Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.
Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.
Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.
Date of Graduation
Capstone Project (On-Campus Access Only)
Master of Science in Physician Assistant Studies
Bill Hatch, PA-C
Context: Objective: To compare the post-procedure expectations of Percutaneous Transluminal Coronary Angioplasty (PTCA)t patients with those of their Cardiologist/lnterventionalist, to see if patients are receiving information to invoke lifestyle changes necessary to lessen the likelihood of having symptoms retum, requiring another procedure. Design: Both groups received patient education by nonnal means (Cath lab staff, RNs, Physicians ... etc). In addition, patients randomized to the interventional group viewed an educational video prior to discharge, which identified cardiovascular risk factors and their modification, as well as expectations following PTCA. Setting: Urban hospital. Patients: Twelve patients were enrolled. One patient was homeless and lost to follow-up. Interventions: As above. Main Outcome: Agreement between patient and interventionalist expectations, and knowledge attail1lllent. Measures: Patient and interventionalist expectations of symptoms requiring another procedure over the next six months. Results: A Speannan analysis showed that there was no relationship between administration of the educational video and knowledge attainment. Timing of infomlation presentation, however, was not optimal due to resource constraints, and may have effected patient's assimilation of new information. Conclusions: Patients in this setting were not receiving the information necessary to maximize procedure outcomes and limit the likelihood of requiring another procedure. An integrated approach, using a pre-procedure educational video for patient orientation to catheterization, at least one week prior to the procedure, combined with a post-procedure video addressing expectations and lifestyle adjustments, may be a viable option to consider.
Smith, Tim, "Post-coronary revascularization lifestyle expectations: A comparison between structured and non-structured educational approaches" (2001). School of Physician Assistant Studies. 380.