| Patients' responses to the angioplasty experience: a qualitative study. | |
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MedLine Citation:
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PMID: 9116782 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The number of coronary angioplasty procedures performed has increased more than tenfold in the past decade. Most research to date has focused on efficacy of the procedure, quality-of-life issues, and measures to promote comfort after percutaneous transluminal coronary angioplasty. Little or no research has examined the patient's experience during angioplasty. OBJECTIVE: The purpose of this study was to describe the angioplasty experience from the patient's unique perspective. METHOD: Focus-group interviews were used as the qualitative method for data collection. The sample consisted of 45 patients (26 male, 19 female) who had undergone percutaneous transluminal coronary angioplasty 3 to 18 months before the interviews. Seven focus groups (with four to nine subjects each) were conducted. Each 2-hour interview was tape recorded. Data were analyzed by using a constant comparative method. RESULTS: A wide range of themes emerged from the data. Positive themes included the following: contentment with comfort measures, satisfaction with supportive hospital care, and trust in medical competence. Negative themes included anger over unmet needs for comfort or support, feeling dehumanized, and frustration with lack of control in decision making. CONCLUSIONS: This study uncovered a broad range of experiences among patients undergoing percutaneous transluminal coronary angioplasty. Although most participants described very positive experiences, many patients expressed bitter dissatisfaction regarding several aspects of their care. Healthcare providers must be aware of these possible reactions so that they can anticipate, recognize, and intervene early and appropriately. |
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Authors:
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M Gulanick; A Bliley; B Perino; V Keough |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of critical care : an official publication, American Association of Critical-Care Nurses Volume: 6 ISSN: 1062-3264 ISO Abbreviation: Am. J. Crit. Care Publication Date: 1997 Jan |
Date Detail:
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Created Date: 1997-04-22 Completed Date: 1997-04-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9211547 Medline TA: Am J Crit Care Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 25-32 Citation Subset: IM; N |
Affiliation:
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Niehoff School of Nursing, Loyola University Chicago, Ill, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angioplasty, Transluminal, Percutaneous Coronary / psychology* Anxiety Attitude to Health* Coronary Disease / therapy Female Focus Groups Humans Male Middle Aged Patient Satisfaction* Physician-Patient Relations |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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