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Post-coronary revascularization lifestyle expectations: A comparison between structured and non-structured educational approaches

1 August 2001


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.


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